Individual
ALICIA ANNETTE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2004 HAYES ST STE 260, NASHVILLE, TN 37203-2646
(615) 329-7969
(615) 284-7912
Mailing address
703 GREEN RD, SUITE 1, MADISON, IN 47250-2143
(812) 265-9900
(812) 265-9998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34216
TN
207Q00000X
Family Medicine Physician
39429
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64095888
—
KY
Enumeration date
09/12/2005
Last updated
06/02/2020
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