Individual
DAPHNE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 MOUNT MORIAH RD BLDG D, MEMPHIS, TN 38115-1519
(901) 503-1114
Mailing address
9123 CHIMNEYROCK BLVD, CORDOVA, TN 38016-1406
(901) 503-1114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
186311
TN
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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