Organization
RICHARD S. HALL, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI TALLENT (OFFICE MANAGER)
(931) 520-1414
Entity
Organization
Contact information
Practice address
112 N WALNUT AVE, COOKEVILLE, TN 38501-2554
(931) 520-1414
(931) 520-1246
Mailing address
PO BOX 1210, COOKEVILLE, TN 38503-1210
(931) 520-1414
(931) 520-1246
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18375
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073355
—
TN
Enumeration date
04/09/2007
Last updated
08/22/2020
Update your record
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