Healthcare Provider Details

I. General information

NPI: 1184819104
Provider Name (Legal Business Name): STEVEN F. HALL MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10622 CHAPMAN HWY
SEYMOUR TN
37865-4703
US

IV. Provider business mailing address

10622 CHAPMAN HWY
SEYMOUR TN
37865-4703
US

V. Phone/Fax

Practice location:
  • Phone: 865-453-9045
  • Fax:
Mailing address:
  • Phone: 865-453-9045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateTN

VIII. Authorized Official

Name: DR. STEVEN F HALL
Title or Position: OWNER
Credential: MD
Phone: 865-453-9045