Hartline, Randal Garnett
Hartline, Randal Garnett is an individual health care provider with primary practice located at 726 S Church St , Murfreesboro TN 37130-4933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Hartline, Randal Garnett can be contacted via phone (615) 893-0228.Contact Information
Primary practice address
726 S Church St
Murfreesboro TN 37130-4933
Phone: (615) 893-0228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD0000018862 | Tennessee |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD0000018862 | Tennessee |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD18862 | Tennessee |
Profile Details
| NPI number | 1487763991 |
|---|---|
| LBN Legal business name | Hartline, Randal Garnett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Oct 14th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487763991 | NPPES |
| Tennessee | Other | MD0000018862 | MEDICAL LICENSE |
| Tennessee | MEDICAID | 3034792 | MEDICAL LICENSE |
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