Individual
DR. JASON JENNINGS HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9239 PARK WEST BLVD, SUITE 202, KNOXVILLE, TN 37923-4403
(865) 973-9500
(865) 973-9575
Mailing address
9239 PARK WEST BLVD, SUITE 202, KNOXVILLE, TN 37923-4403
(865) 973-9500
(865) 973-9575
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
0101247646
VA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
52085
TN
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
A108641
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
M2633
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I245655
MEDICARE
TN
01
—
2463107
HUMANA
TN
01
—
6040816
BCBS TN
TN
01
—
9535632
CIGNA
TN
01
—
Q012722
MEDICAID-TENNCARE
TN
Enumeration date
06/22/2006
Last updated
02/01/2017
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