MEDICARE: DR. RHETT KENDALL HALLOWS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	5764688-1205	UT
2	207X00000X	Orthopaedic Surgery Physician	2011-00806	NC

General Provider Information

NPI Number	:	1043498553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RHETT KENDALL HALLOWS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5105
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-5100
Country	:	US
Telephone Number	:	919-220-5255
Fax Number	:

Provider Business Practice Location Address
First Line	:	7850 BRIER CREEK PKWY STE 200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-8900
Country	:	US
Telephone Number	:	919-846-3938
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	07/03/2023

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