Organization
HAL MEDICAL O&P
Active
Other names
HaL Medical O&P
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN BERRYHILL CEO (CEO)
(256) 230-2321
Entity
Organization
Contact information
Practice address
713B PRESIDENT PL, SMYRNA, TN 37167-5652
(256) 230-2321
(256) 230-2323
Mailing address
108 CLOVERLEAF DR, ATHENS, AL 35611-4417
(256) 230-2321
(256) 230-2323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
170309
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184706
—
AL
Enumeration date
11/09/2016
Last updated
11/10/2016
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