Individual
DR. TERRY DWAYNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-7682
(606) 886-2218
Mailing address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-8511
(606) 886-1316
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
03409
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100172200
—
KY
Enumeration date
05/14/2007
Last updated
04/18/2022
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