Individual
DR. RICHARD SCOTT HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 N WALNUT AVE, COOKEVILLE, TN 38501-2554
(931) 520-1414
(931) 520-1246
Mailing address
PO BOX 1210, COOKEVILLE, TN 38503-1210
(931) 520-1414
(931) 520-1246
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
18375
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073355
—
TN
Enumeration date
04/26/2006
Last updated
03/22/2021
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