Individual
SAMUEL MATTHEWS HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2710 AMNICOLA HWY, CHATTANOOGA, TN 37406-3603
(423) 624-0946
Mailing address
712 MORNING SHADOWS DR, CHATTANOOGA, TN 37421-2055
(423) 605-8222
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
221
TN
224P00000X
Prosthetist
120
GA
224P00000X
Prosthetist
Primary
200
TN
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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