Provider Demographics
NPI:1568528693
Name:HARTING, DON CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:CHARLES
Last Name:HARTING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2200 CHAMBLISS AVE NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-3874
Mailing Address - Country:US
Mailing Address - Phone:423-479-8648
Mailing Address - Fax:423-479-8649
Practice Address - Street 1:2200 CHAMBLISS AVE NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3874
Practice Address - Country:US
Practice Address - Phone:423-479-8648
Practice Address - Fax:423-479-8649
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD9328207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB03334Medicare UPIN
3169229Medicare ID - Type Unspecified