Healthcare Provider Details

I. General information

NPI: 1598986333
Provider Name (Legal Business Name): RALPH WEBSTER HALE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 WHIRLAWAY CIRCLE
OAK HILL VA
20171-2031
US

IV. Provider business mailing address

2808 WHIRLAWAY CIRCLE
OAK HILL VA
20171-2031
US

V. Phone/Fax

Practice location:
  • Phone: 703-715-1018
  • Fax: 703-715-2682
Mailing address:
  • Phone: 703-715-1018
  • Fax: 703-715-2682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101048756
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: