Edward L Hall in Thomasville - Specialist

Edward L Hall - NPI 1053390153

Edward L Hall is a Specialist in Thomasville, Georgia. Edward L Hall practices all healthcare services and medical treatments related to Specialist. The NPI Number for Edward L Hall is 1053390153. The last update date is 2020-09-17.

Edward L Hall's current location address is 100 Mimosa Drive, Thomasville, Georgia. You can contact this provider via phone number 2292268881 and fax number 2292252165. The mailing address for Edward L Hall is 100 Mimosa Drive, Thomasville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward L Hall
Address 100 Mimosa Drive, Thomasville, Georgia
Phone Number 2292268881
Fax Number 2292252165
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053390153
Provider Enumeration Date 2006-01-17
Last Updated Date 2020-09-17

Provider Mailing Address Detail

Address 100 Mimosa Drive
City Thomasville
State Georgia (GA)
Post Code 31792
Phone Number 2292268881
Fax Number 2292252165

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 20724
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110153551 GA RAILROAD MEDICARE
000264129B GA PEACH STATE
000264129I GA --
000264129B GA --
207430 GA WELLCARE

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FAQs about Edward L Hall

What is the unique 10-digit identification code issued to Edward L Hall by the Centers for Medicare & Medicaid Services?

The Edward L Hall has been assigned the NPI (National Provider Identifier) 1053390153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Edward L Hall located?

The Edward L Hall is located at 100 Mimosa Drive, Thomasville, GA 31792.

What is the Edward L Hall's specialty and taxonomy code?

The Edward L Hall's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date was the 1053390153 assigned to Edward L Hall?

The Edward L Hall was issued its 1053390153 on 2006-01-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Edward L Hall most recently updated or revised?

The details related to Edward L Hall, including its address, specialty, and other relevant information, were last updated or revised on 2020-09-17.

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