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Individual

JOSEPH PATRICK HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
100 W 4TH ST STE 310, COOKEVILLE, TN 38501-2474
(931) 528-7877
(931) 526-3261
Mailing address
1026 SUGARLAND DR, COOKEVILLE, TN 38501-0959
(931) 722-8367

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128497
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1526910
TN
Enumeration date
12/20/2011
Last updated
06/07/2012
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