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NPI Code Detail

MEDICARE: DR. GEOFFREY HALL D.O.

MEDICARE: DR. GEOFFREY HALL D.O.
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
12080P0201XPediatric Allergy/Immunology Physician2021-00784NC

General Provider Information

NPI Number : 1275065823
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEOFFREY HALL D.O.
Provider Business Mailing Address
First Line : 616 CANAL ST
Second Line :
City : DURHAM
State : NC
Zip : 27701-2504
Country : US
Telephone Number : 860-307-6192
Fax Number :
Provider Business Practice Location Address
First Line : 4709 CREEKSTONE DR STE 100
Second Line :
City : DURHAM
State : NC
Zip : 27703-0016
Country : US
Telephone Number : 919-862-5782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2017
Last Update Date : 03/07/2025

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