Individual
JAMES D HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1201 BISHOP ST, UNION CITY, TN 38261-5403
(731) 885-0787
(731) 885-0756
Mailing address
PO BOX 387, UNION CITY, TN 38281-0387
(731) 885-0787
(731) 885-0756
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN38418
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I439798
MEDICARE PTAN
TN
05
—
3630468
—
TN
01
—
4109120
BLUE SHIELD TN
TN
01
—
4292284
BCBS
TN
Enumeration date
09/22/2005
Last updated
06/08/2011
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