MEDICARE: JEFFREY HALL M.D.

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
1	207L00000X	Anesthesiology Physician	E0558	AR
2	207L00000X	Anesthesiology Physician	23881	TN
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	23881	TN
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	E0558	AR

General Provider Information

NPI Number	:	1912929365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY HALL M.D.

Provider Business Mailing Address
First Line	:	8132 CORDOVA RD
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-6005
Country	:	US
Telephone Number	:	901-405-6470
Fax Number	:	901-747-2338

Provider Business Practice Location Address
First Line	:	8132 CORDOVA RD
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-6005
Country	:	US
Telephone Number	:	901-405-6470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	11/13/2025

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