Individual
TYLER ANDREW HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 UNIVERSITY BLVD STE 200, BIRMINGHAM, AL 35233-1816
(833) 733-8747
(205) 390-6460
Mailing address
PO BOX 59449, BIRMINGHAM, AL 35259-9449
(205) 876-8988
(205) 390-6460
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27565
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I189509
MEDICARE PTAN
AL
05
—
117449
—
AL
01
—
51120733
BLUE CROSS AND BLUE SHIELD OF ALABAMA
AL
01
—
P01052154
RAILROAD MEDICARE PTAN
AL
Enumeration date
05/21/2007
Last updated
07/22/2024
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