Individual
DR. JOSHUA D HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 MEDICAL PARK BLVD, BRISTOL, TN 37620-7455
(423) 246-6777
(423) 246-7766
Mailing address
135 W RAVINE RD, SUITE 3A, KINGSPORT, TN 37660-3847
(423) 246-6777
(423) 246-7766
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
059421
GA
207RG0100X
Gastroenterology Physician
Primary
46097
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255452751
—
VA
05
—
3700035
—
TN
01
—
4268273
BLUE CROSS BLUE SHIELD
TN
01
—
P00848857
MEDICARE RAILROAD
TN
Enumeration date
04/02/2007
Last updated
11/05/2010
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