Individual
DR. THOMAS HUNT HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1051 GAUSE BLVD, SUITE 300, SLIDELL, LA 70458-2951
(985) 643-8680
(985) 643-7873
Mailing address
1051 GAUSE BLVD, SUITE300, SLIDELL, LA 70458-2951
(985) 643-8680
(985) 643-7873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L017279
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010739
—
MS
01
—
04-01051
UNITED HEALTHCARE
LA
05
—
1358495
—
LA
01
—
29143
BLUE CROSS OF LA
LA
Enumeration date
10/10/2005
Last updated
06/08/2012
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