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NPI Code Detail

MEDICARE: DR. DANNY RAY HALL MD

MEDICARE: DR. DANNY RAY HALL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD7099TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
33376524OTHERTNMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11598817017OTHERTNNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629091855
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANNY RAY HALL MD
Provider Business Mailing Address
First Line : 1100 ENGLAND DRIVE
Second Line :
City : COOKEVILLE
State : TN
Zip : 38501-0924
Country : US
Telephone Number : 931-528-7531
Fax Number : 931-520-0413
Provider Business Practice Location Address
First Line : 1503 S MAIN ST
Second Line :
City : CROSSVILLE
State : TN
Zip : 38555-5967
Country : US
Telephone Number : 931-484-6196
Fax Number : 931-456-1047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/23/2014

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