Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | M11906 | TN |
NPI | 1396739868 |
---|---|
Provider Name | Dr. Don Jennings Hall |
First Address | Knoxville, TN 37920-1656 |
Second Address | Knoxville, TN 37920-1632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3707494 | (05) | TN |
D70054 | (02) | TN |