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Individual

TIFFANY HALL

Active
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Individual

TIFFANY HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36781
TN
208000000X
Pediatrics Physician
36781
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04735812
MS
05
107001001
AR
01
4108593
BCBS
TN
01
99182
BCBS
AR
Enumeration date
07/12/2006
Last updated
10/14/2014
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