MEDICARE: CAROLINE HALL PA

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	363A00000X	Physician Assistant	PA200002410	DC

General Provider Information

NPI Number	:	1992515571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE HALL PA

Provider Business Mailing Address
First Line	:	1775 N SECTOR CT STE 200
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2859
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 IRVING ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2927
Country	:	US
Telephone Number	:	202-877-6000
Fax Number	:

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

Provider Enumeration Date	:	01/07/2025
Last Update Date	:	03/04/2026

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Directions to “ CAROLINE HALL PA” Practice Location

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