Ronald Daker Hall Iii, MD | |
919 East Central Avenue, Suite 101b, Lafollette, TN 37766-2778 | |
(423) 562-6586 | |
(423) 566-4559 |
Full Name | Ronald Daker Hall Iii |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 919 East Central Avenue, Lafollette, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093785578 | NPI | - | NPPES |
3165571 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7132 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
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Ronald Daker Hall Iii, MD 919 East Central Avenue, Suite 101b, Lafollette, TN 37766-2778 Ph: (423) 562-6586 | Ronald Daker Hall Iii, MD 919 East Central Avenue, Suite 101b, Lafollette, TN 37766-2778 Ph: (423) 562-6586 |