Provider Demographics
NPI:1598183535
Name:HALL, DAVID MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:HALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:965 RIDGE LAKE BLVD STE 315
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-9401
Mailing Address - Country:US
Mailing Address - Phone:901-227-4618
Mailing Address - Fax:
Practice Address - Street 1:641 RB WILSON DR STE M
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:TN
Practice Address - Zip Code:38344-1734
Practice Address - Country:US
Practice Address - Phone:731-986-7330
Practice Address - Fax:731-986-7083
Is Sole Proprietor?:No
Enumeration Date:2014-04-06
Last Update Date:2024-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN59534208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery