Individual
JOHNNIE CAMERON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7550 WOLF RIVER BLVD, SUITE 200, GERMANTOWN, TN 38138-1745
(901) 542-6801
(901) 542-6871
Mailing address
7550 WOLF RIVER BLVD, SUITE 200, GERMANTOWN, TN 38138-1745
(901) 542-6801
(901) 542-6871
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD0000016469
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000004129
—
TN
05
—
0019203
—
MS
05
—
115043001
—
AR
05
—
202580007
—
MO
01
—
3031633
BLUE CROSS BLUE SHIELD
TN
05
—
3031633
—
TN
05
—
3042151
—
TN
01
—
96810
BLUE CROSS
AR
Enumeration date
07/10/2006
Last updated
12/09/2008
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