Individual
DR. MICHAEL A HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
105 HUDSON DR, SUITE 9B, ELIZABETHTON, TN 37643-2801
(423) 543-5263
Mailing address
179 JOHN COX RD, GRAY, TN 37615-4526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401412203
VA
122300000X
Dentist
Primary
DS0000009381
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401412203
VIRGINIA LICENSE NUMBER
VA
01
—
DS0000009381
TENNESSEE LICENSE NUMBER
TN
Enumeration date
07/07/2008
Last updated
01/09/2013
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