Organization
JOHN M HALL, M.D. PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M HALL M.D. (OWNER)
(270) 237-3351
Entity
Organization
Contact information
Practice address
218 N COURT ST, SCOTTSVILLE, KY 42164-1434
(270) 237-3351
(270) 237-9091
Mailing address
PO BOX 2560, BOWLING GREEN, KY 42102-2560
(270) 745-1467
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047524
BLUE PREFERRED
KY
05
—
65911836
—
KY
Enumeration date
05/21/2008
Last updated
10/13/2010
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