# SAMUEL MATTHEWS HALE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891338133
- **Gender:** Man
- **Credential:** CPO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 222Z00000X | Orthotist | 221 | TN | — |
| 224P00000X | Prosthetist | 120 | GA | — |
| 224P00000X | Prosthetist | 200 | TN | Yes |

## Other

- **Enumeration date:** 10/18/2019
- **Last updated:** 10/18/2019