Dr. Frederick Jacques Hall
Foot Surgery Primary Podiatric Medicine
510 E Stoner Ave
Shreveport
, Louisiana 71101-4243
Dr. Frederick Jacques Hall
Foot Surgery Primary Podiatric Medicine
510 E Stoner Ave
Shreveport
, Louisiana 71101-4243
(678) 640-5685
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Frederick Jacques Hall
- 510 E Stoner Ave
- Shreveport, LA
- Zip : 71101-4243
- Phone : (678) 640-5685
Second Address
- Dr. Frederick Jacques Hall
- 510 E Stoner Ave
- Shreveport, LA
- Zip : 71101-4243
- Phone : (678) 640-5685
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213EP1101X | Primary Podiatric Medicine | POD000612 | GA |
| Y | 213ES0131X | Foot Surgery | POD000612 | GA |
National Provider Identifier
| NPI | 1154693968 |
|---|---|
| Provider Name | Dr. Frederick Jacques Hall |
| First Address | Shreveport, LA 71101-4243 |
| Second Address | Shreveport, LA 71101-4243 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2012 |
| Last Update Date | 08/02/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.