Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | NC |
NPI | 1194788877 |
---|---|
Provider Name | Dr. Neil King Hall |
First Address | Greensboro, NC 27405-4522 |
Second Address | Greensboro, NC 27405-4522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14134 | BCBS (01) | NC |
187163 | MEDCOST (01) | NC |
5903354 | (05) | NC |
856190 | UHC (01) | NC |
B81844 | (02) | NC |