Organization
KEVIN G HARTMAN ESTATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA COVINGTON (OWNER/ OFFICE MANAGER)
(423) 636-1911
Entity
Organization
Contact information
Practice address
816 TUSCULUM BLVD, SUITE 1, GREENEVILLE, TN 37745-4092
(423) 636-1911
(423) 798-9962
Mailing address
816 TUSCULUM BLVD, SUITE 1, GREENEVILLE, TN 37745-4092
(423) 636-1911
(423) 798-9962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4344722
BCBS
TN
Enumeration date
03/28/2013
Last updated
01/03/2020
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