Organization
THOMAS KENT HALL MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KENT HALL M.D. (PRESIDENT)
(423) 569-8575
Entity
Organization
Contact information
Practice address
19295 ALBERTA ST, ONEIDA, TN 37841-6064
(423) 569-8575
(423) 569-5880
Mailing address
PO BOX 4527, ONEIDA, TN 37841-4527
(423) 569-8575
(423) 569-5880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD0000009040
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164066
BLACK LUNG
TN
01
—
2001147
BLUE CROSS
TN
05
—
3386048
—
TN
05
—
64772874
—
KY
Enumeration date
02/27/2008
Last updated
04/20/2008
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