| Organization Name: | HALLS FAMILY WALK-IN CLINIC, LLC |
| NPI Number: | 1982989091 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNON REBECCA ATCHISON (NURSE PRACTITIONER/OWNER) |
| Mailing Address: | 115 W Tigrett St Apt A Halls |
| State: | TN US |
| Postal Code: | 380401256 |
| Phone Number: | 7318369444 |
| Fax Number: | 7318369443 |
| NPI Enumeration Date: | 10/20/2011 |
| NPI Last Update Date: | 11/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |