MEDICARE: DR. HALL RENFRO HOWARD MD

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	208600000X	Surgery Physician	0101027396	VA

General Provider Information

NPI Number	:	1184624439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HALL RENFRO HOWARD MD

Provider Business Mailing Address
First Line	:	856 J CLYDE MORRIS BLVD
Second Line	:	STE A
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23601-1318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 KINGS WAY
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2505
Country	:	US
Telephone Number	:	757-345-0141
Fax Number	:	757-253-1527

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	05/30/2014

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