Individual
DR. DENNIS ALFRED HULM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 SKYLINE DRIVE, JACKSON, TN 38301-3901
(731) 541-6174
(731) 541-8008
Mailing address
PO BOX 11955, JACKSON, TN 38308-0132
(888) 630-0845
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD37894
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3888472
—
TN
05
—
3888478
—
TN
05
—
3888479
—
TN
01
—
4068852
BCBS
—
01
—
4102674
BCBS
—
01
—
DC538Z
PALMETTO HAWAII
HI
01
—
P00109839
RR MEDICARE
—
01
—
P00264044
RR MEDICARE
—
Enumeration date
03/02/2006
Last updated
04/27/2017
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