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NPI Code Detail

MEDICARE: MICHAEL RAYMOND HALL M.D.

MEDICARE: MICHAEL RAYMOND 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
12086S0129XVascular Surgery Physician2023-01285NC
2208600000XSurgery Physician2023-01285NC

General Provider Information

NPI Number : 1043530553
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL RAYMOND HALL M.D.
Provider Business Mailing Address
First Line : 5221 PARAMOUNT PKWY STE 420
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-5491
Country : US
Telephone Number : 984-974-1256
Fax Number :
Provider Business Practice Location Address
First Line : 4414 LAKE BOONE TRL STE 505
Second Line :
City : RALEIGH
State : NC
Zip : 27607-7521
Country : US
Telephone Number : 919-784-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2010
Last Update Date : 05/10/2024

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