Healthcare Provider Details

I. General information

NPI: 1669823654
Provider Name (Legal Business Name): HALLS PHYSICIAN SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 06/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7545 BARNETT WAY
POWELL TN
37849-3565
US

IV. Provider business mailing address

7545 BARNETT WAY
POWELL TN
37849-3565
US

V. Phone/Fax

Practice location:
  • Phone: 865-922-1400
  • Fax: 865-922-0928
Mailing address:
  • Phone: 865-922-1400
  • Fax: 865-922-0928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JANET HINKLE
Title or Position: OFFICE ADMINISTRATOR
Credential:
Phone: 865-922-1400