Individual
TABITHA JO HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2211 MAYFAIR DR STE 305, OWENSBORO, KY 42301-4572
(270) 688-3700
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2111
KY
Other
Enumeration date
05/03/2016
Last updated
06/22/2023
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