MEDICARE: DR. AUSTIN HALL M.D.

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	2084P0800X	Psychiatry Physician	NC2004-00677	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013955962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUSTIN HALL M.D.

Provider Business Mailing Address
First Line	:	200 N GREENSBORO ST
Second Line	:	SUITE C-6
City	:	CARRBORO
State	:	NC
Zip	:	27510-1833
Country	:	US
Telephone Number	:	919-962-6919
Fax Number	:	919-445-0414

Provider Business Practice Location Address
First Line	:	200 N GREENSBORO ST
Second Line	:	SUITE C-6
City	:	CARRBORO
State	:	NC
Zip	:	27510-1833
Country	:	US
Telephone Number	:	919-962-6919
Fax Number	:	919-445-0414

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	03/28/2021

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