Individual
DR. JOHN K HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5900
(601) 984-5939
Mailing address
6304 TIFFANY OAKS LN, ARLINGTON, TX 76016-2034
(214) 810-0856
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
J6988
TX
207LP3000X
Pediatric Anesthesiology Physician
Primary
21068
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08805791
—
MS
05
—
1138703
—
AL
05
—
117330405
—
TX
01
—
302I053761
MEDICARE PTAN
MS
Enumeration date
05/18/2006
Last updated
04/29/2022
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