Healthcare Provider Details

I. General information

NPI: 1467478974
Provider Name (Legal Business Name): CARRIE H HALL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 10/28/2022
Certification Date: 10/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HOSPITAL CENTER CMNS STE 200
HILTON HEAD ISLAND SC
29926-2841
US

IV. Provider business mailing address

PO BOX 2330
BLUFFTON SC
29910-2330
US

V. Phone/Fax

Practice location:
  • Phone: 843-837-4400
  • Fax: 843-837-4440
Mailing address:
  • Phone: 843-837-4400
  • Fax: 843-837-4440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD 32622
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: