Individual
RONALD DAKER HALL III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
919 EAST CENTRAL AVENUE, SUITE 101B, LAFOLLETTE, TN 37766-2778
(423) 562-6586
(423) 566-4559
Mailing address
919 EAST CENTRAL AVENUE, SUITE 101B, LAFOLLETTE, TN 37766-2778
(423) 562-6586
(423) 566-4559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7132
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3165571
—
TN
Enumeration date
01/25/2006
Last updated
07/08/2007
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