MEDICARE: DR. MATTHEW LEE HARTMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0120X	Cornea and External Diseases Specialist Physician	61205	TN

General Provider Information

NPI Number	:	1063891216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW LEE HARTMAN MD

Provider Business Mailing Address
First Line	:	341 COOL SPRINGS BLVD.
Second Line	:	STE. 400
City	:	FRANKLIN
State	:	TN
Zip	:	37067-7224
Country	:	US
Telephone Number	:	423-508-7337
Fax Number	:	423-508-7338

Provider Business Practice Location Address
First Line	:	393 NICHOL MILL LANE
Second Line	:	STE. 30
City	:	FRANKLIN
State	:	TN
Zip	:	37067-8324
Country	:	US
Telephone Number	:	615-782-7337
Fax Number	:	423-508-7338

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2015
Last Update Date	:	02/12/2023

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