Individual
DR. MICHAEL EDWARD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPT. OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5678
(601) 984-5638
Mailing address
2500 N STATE ST, DEPT. OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5678
(601) 984-5638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20003
MS
207R00000X
Internal Medicine Physician
20003
MS
207RC0000X
Cardiovascular Disease Physician
Primary
20003
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07271044
—
MS
05
—
156662
—
AL
01
—
P01242096
RAILLROAD MEDICARE
MS
Enumeration date
05/24/2007
Last updated
10/31/2016
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