Individual
TRACY R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
P O BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1089983
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051505894
BCBS OF AL
AL
Enumeration date
08/16/2006
Last updated
04/01/2008
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