Individual
GLEN E HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7744 CONNER ROAD, POWELL, TN 37849-3568
(865) 546-9751
Mailing address
1275 DICK LONAS RD, KNOXVILLE, TN 37909-1326
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37409
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3881702
—
TN
01
—
P00002197
RR MEDICARE PIN
TN
Enumeration date
06/21/2006
Last updated
01/18/2019
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