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Individual
JOHNNIE CAMERON HALL
Active
Individual
JOHNNIE CAMERON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD0000016469
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000004129
—
TN
05
—
0019203
—
MS
05
—
115043001
—
AR
05
—
202580007
—
MO
01
—
3031633
BLUE CROSS BLUE SHIELD
TN
05
—
3031633
—
TN
05
—
3042151
—
TN
01
—
96810
BLUE CROSS
AR
Enumeration date
07/10/2006
Last updated
12/09/2008
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