Individual
BRADLEY T HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401
(601) 579-5459
(601) 268-5733
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5459
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
26553
MS
207T00000X
Neurological Surgery Physician
5101015168
MI
207T00000X
Neurological Surgery Physician
DO2749
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00921701
—
MS
Enumeration date
03/29/2007
Last updated
07/09/2020
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