Individual
JASON TYLER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8010
Mailing address
303 HARDAWAY AVE E, UNION SPRINGS, AL 36089-1612
(334) 621-0056
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35338
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2022
Last updated
07/16/2025
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