MEDICARE: WILLIAM E. HALL MD, P.A.

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	261Q00000X	Clinic/Center	80929	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010063303	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	203534F	OTHER	NC	RENDERING PROVIDER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134129539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM E. HALL MD, P.A.

Provider Business Mailing Address
First Line	:	1911 K M WICKER MEMORIAL DR
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-5070
Country	:	US
Telephone Number	:	919-775-1000
Fax Number	:	919-775-3377

Provider Business Practice Location Address
First Line	:	1911 K M WICKER MEMORIAL DR
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-5070
Country	:	US
Telephone Number	:	919-775-1000
Fax Number	:	919-775-3377

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM E. HALL
Credential	:	MD
Telephone Number	:	919-775-1000

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	12/27/2007

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