1144452756 NPI number — ALICIA A. HALL, MD, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144452756 NPI number — ALICIA A. HALL, MD, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALICIA A. HALL, MD, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144452756
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/14/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 331366
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37203-7513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-329-7969
Provider Business Mailing Address Fax Number:
615-284-7912

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2010 CHURCH ST
Provider Second Line Business Practice Location Address:
STE 526
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37203-2012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-329-7969
Provider Business Practice Location Address Fax Number:
615-284-7912
Provider Enumeration Date:
08/14/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HALL
Authorized Official First Name:
ALICIA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT/PHYSICIAN OWNER
Authorized Official Telephone Number:
615-329-7969

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  34216 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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