Provider Demographics
NPI:1285029371
Name:NALL, JOHN DAVID III (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:DAVID
Last Name:NALL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4101 BALMORAL DR SW STE B
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6535
Mailing Address - Country:US
Mailing Address - Phone:256-808-2929
Mailing Address - Fax:256-489-1525
Practice Address - Street 1:4101 BALMORAL DR SW STE B
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6535
Practice Address - Country:US
Practice Address - Phone:256-808-2929
Practice Address - Fax:256-489-1525
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2021-02-16
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Provider Licenses
StateLicense IDTaxonomies
ALMD.37437207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine