Provider Demographics
NPI:1730338211
Name:HALL, JOHN DAVID (MD, CM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DAVID
Last Name:HALL
Suffix:
Gender:M
Credentials:MD, CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1211 21ST AVE S
Mailing Address - Street 2:SUITE 526 MAB
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-2717
Mailing Address - Country:US
Mailing Address - Phone:615-343-6268
Mailing Address - Fax:615-343-6272
Practice Address - Street 1:1211 21ST AVE S
Practice Address - Street 2:SUITE 526 MAB
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2717
Practice Address - Country:US
Practice Address - Phone:615-343-6268
Practice Address - Fax:615-343-6272
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY243411207LC0200X
TNMD44978207L00000X
TN44978207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology