Provider Demographics
NPI:1740210962
Name:HALLS PHYSICIAN SERVICES, PLLC
Entity Type:Organization
Organization Name:HALLS PHYSICIAN SERVICES, PLLC
Other - Org Name:HALL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-922-1400
Mailing Address - Street 1:7000 MAYNARDVILLE PIKE
Mailing Address - Street 2:HALLS PHYSICIAN SERVICES PLLC
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-5736
Mailing Address - Country:US
Mailing Address - Phone:865-922-1400
Mailing Address - Fax:865-922-0928
Practice Address - Street 1:7000 MAYNARDVILLE PIKE
Practice Address - Street 2:HALLS PHYSICIAN SERVICES PLLC
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5736
Practice Address - Country:US
Practice Address - Phone:865-922-1400
Practice Address - Fax:865-922-0928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3795988332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site
Provider Identifiers
StateIdentifier IDID TypeIssuer
4440501OtherNCPDP PROVIDER IDENTIFICATION NUMBER