Organization
HALLS PHYSICIAN SERVICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANA H MIRANI (OFFICE MANAGER)
(865) 922-1400
Entity
Organization
Contact information
Practice address
7000 MAYNARDVILLE HWY, HALLS PHYSICIAN SERVICES PLLC, KNOXVILLE, TN 37915
(865) 922-1400
(865) 922-0928
Mailing address
7000 MAYNARDVILLE HWY, KNOXVILLE, TN 37918
(865) 922-1400
(865) 922-0928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730421
—
TN
01
—
4109370
BCBS
TN
Enumeration date
08/04/2006
Last updated
08/22/2020
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