MEDICARE: JEFF HALL INC

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	111NN1001X	Nutrition Chiropractor	DC0000001918	TN
2	111NN1001X	Nutrition Chiropractor	DC0000001789	TN

General Provider Information

NPI Number	:	1861430753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFF HALL INC

Provider Business Mailing Address
First Line	:	3555 KEITH ST NW
Second Line	:	SUITE 103
City	:	CLEVELAND
State	:	TN
Zip	:	37312-4375
Country	:	US
Telephone Number	:	423-614-7616
Fax Number	:	423-614-7668

Provider Business Practice Location Address
First Line	:	4867 HIGHWAY 411
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37323-5360
Country	:	US
Telephone Number	:	423-338-8000
Fax Number	:	423-338-8002

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JEFF HALL
Credential	:	D.C.
Telephone Number	:	423-338-8000

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	11/20/2007

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Directions to “JEFF HALL INC ” Practice Location

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