Individual
GILLBERT DARYL HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 CROSSOVER RD, TUPELO, MS 38801-4944
(662) 620-7102
(662) 620-7106
Mailing address
PO BOX 980, TUPELO, MS 38802-0980
(662) 620-7102
(662) 620-7106
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35064475
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0902929
—
OH
05
—
100331680A
—
IN
05
—
64932718
—
KY
Enumeration date
08/02/2005
Last updated
07/15/2013
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