Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 3654 | AR |
NPI | 1013159979 |
---|---|
Provider Name | Dr. James Adam Hall |
First Address | Hot Springs, AR 71913-6914 |
Second Address | Hot Springs, AR 71913-6914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2009 |
Last Update Date | 24/03/2009 |