Healthcare Provider Details

I. General information

NPI: 1104825603
Provider Name (Legal Business Name): WILLIAM E. HALL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 MAPLE AVE
SANFORD NC
27330-4338
US

IV. Provider business mailing address

1202 WILKINS DR
SANFORD NC
27330-7237
US

V. Phone/Fax

Practice location:
  • Phone: 919-770-9102
  • Fax: 919-775-3377
Mailing address:
  • Phone: 919-770-9102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number28039
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: