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Individual

GRANT P HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
1362 IVY LN, COOKEVILLE, TN 38501-3057
(423) 920-1364
Mailing address
1362 IVY LANE, COOKEVILLE, TN 38501
(423) 920-1364

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN16971
TN

Other

Enumeration date
12/26/2012
Last updated
12/26/2012
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