Provider Demographics
NPI:1477521029
Name:HALL, STEVEN F (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:HALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11546 CHAPMAN HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:SEYMOUR
Mailing Address - State:TN
Mailing Address - Zip Code:37865-5044
Mailing Address - Country:US
Mailing Address - Phone:865-579-5080
Mailing Address - Fax:865-573-8998
Practice Address - Street 1:11546 CHAPMAN HWY
Practice Address - Street 2:SUITE B
Practice Address - City:SEYMOUR
Practice Address - State:TN
Practice Address - Zip Code:37865-5044
Practice Address - Country:US
Practice Address - Phone:865-579-5080
Practice Address - Fax:865-573-8998
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000024025207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3072374Medicaid
TN3072377Medicare ID - Type Unspecified
TN3072374Medicaid