Organization
DANIEL M. HAILE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MINASSE HAILE MD (OWNER)
(615) 686-1958
Entity
Organization
Contact information
Practice address
2298 HERBERT GARRETT RD, COOKEVILLE, TN 38506-3400
(615) 686-1958
Mailing address
2298 HERBERT GARRETT RD, COOKEVILLE, TN 38506-3400
(615) 686-1958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
43048
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q020600
—
TN
Enumeration date
03/17/2016
Last updated
06/01/2016
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