Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 6438 | NC |
NPI | 1043284870 |
---|---|
Provider Name | Dr. Emily Elizabeth Hall |
First Address | Waynesville, NC 28786-3298 |
Second Address | Waynesville, NC 28786-3298 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V07840 | (02) | NC |