| Doctor Name: | MR. CHADRICK LEON HULL |
| NPI Number: | 1548599608 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 1825 |
| Business Practice Address: | 1236 Knoxville Hwy Ambulatory Care Center Of Wartburg Wartburg, TN - 378874200 |
| Business Phone Number: | 4233465566 |
| Business Fax Number: | 4233462082 |
| Mailing Address: | Po Box 368, WARTBURG |
| State: | TN |
| Postal Code: | 378870368 |
| Phone Number: | 4233465566 |
| Fax Number: | 4233462082 |
| NPI Enumeration Date: | 12/18/2009 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1825 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |