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Individual

DR. JOHN WAYNE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
266626
AL
207L00000X
Anesthesiology Physician
Primary
37034
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
26626
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051556471
AL
01
1083678411
TRICARE
AL
01
51002019
BLUE CROSS BLUE SHIELD AL
AL
05
554738662A
GA
01
P00241498
RAILROAD MEDICARE
AL
Enumeration date
04/13/2006
Last updated
12/05/2014
Update your record

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