# TIMOTHY S HALL

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

## Provider details

- **NPI number:** 1922012194
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01072086A | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 9600933 | NC | — |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 08/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000804357 | ANTHEM | IN |
| 05 | — | 201131010 | — | IN |
| 05 | — | 8938668 | — | NC |
| 01 | — | CH3883 | RAIL ROAD MEDICARE | — |
| 01 | — | P01168138 | RAIL ROAD | IN |