Provider Demographics
NPI:1477085645
Name:HALL, JOHN WINAFORD IV (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WINAFORD
Last Name:HALL
Suffix:IV
Gender:M
Credentials:MD
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Mailing Address - Street 1:3600 FORBES AVENUE
Mailing Address - Street 2:FORBES TOWER - PLAZA LEVEL SUITE 140
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-359-4971
Mailing Address - Fax:
Practice Address - Street 1:1400 DOWELL SPRINGS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2457
Practice Address - Country:US
Practice Address - Phone:865-584-0291
Practice Address - Fax:865-584-4426
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2023-09-21
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Provider Licenses
StateLicense IDTaxonomies
PAMD4767902085R0202X
TN672652085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology