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Individual
TYLER ANDREW HALL
Active
Individual
TYLER ANDREW HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27565
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I189509
MEDICARE PTAN
AL
05
—
117449
—
AL
01
—
51120733
BLUE CROSS AND BLUE SHIELD OF ALABAMA
AL
01
—
P01052154
RAILROAD MEDICARE PTAN
AL
Enumeration date
05/21/2007
Last updated
07/22/2024
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