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Individual

WILLIAM OWEN HARTNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 22ND AVE N, STE 400, NASHVILLE, TN 37203-1831
(615) 329-5144
(615) 284-2595
Mailing address
501 GREAT CIRCLE RD, SUITE 200, NASHVILLE, TN 37228-1317
(615) 329-5144
(615) 284-2595

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
17016
TN
207RC0000X
Cardiovascular Disease Physician
Primary
17016
TN
207RI0011X
Interventional Cardiology Physician
17016
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1506111
TN
05
3019665
TN
01
6012065
BLUE CROSS-BLUE SHIELD
TN
01
P00669756
RR MEDICARE
TN
Enumeration date
05/23/2005
Last updated
10/17/2014
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