Organization
JOE I HALL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI L BARBER (CREDENTIALING)
(931) 722-2800
Entity
Organization
Contact information
Practice address
107 J V MANGUBAT DRIVE, WAYNESBORO, TN 38485-2440
(931) 722-2800
(931) 722-9627
Mailing address
PO BOX 689, WAYNESBORO, TN 38485-0689
(931) 722-2800
(931) 722-9627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25882
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3717844
—
TN
01
—
4060796
BCBS OF TN
TN
Enumeration date
09/05/2006
Last updated
05/17/2019
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