Provider Demographics
NPI:1912706185
Name:HARTMAN, SAVANNAH RENEE (CPM)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:RENEE
Last Name:HARTMAN
Suffix:
Gender:
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 355
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:TN
Mailing Address - Zip Code:37820-0355
Mailing Address - Country:US
Mailing Address - Phone:865-601-4644
Mailing Address - Fax:423-370-1799
Practice Address - Street 1:1429 COUGAR WAY
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:TN
Practice Address - Zip Code:37820-0355
Practice Address - Country:US
Practice Address - Phone:865-601-4644
Practice Address - Fax:423-370-1799
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN158176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife