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NPI Code Detail

MEDICARE: DR. PATRICK A HALL MD

MEDICARE: DR. PATRICK A HALL 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
1207RC0000XCardiovascular Disease Physician073434GA
2207RI0011XInterventional Cardiology Physician22217SC

Other Identifiers

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

General Provider Information

NPI Number : 1205872850
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK A HALL MD
Provider Business Mailing Address
First Line : PO BOX 743904
Second Line :
City : ATLANTA
State : GA
Zip : 30374-3904
Country : US
Telephone Number : 803-296-7033
Fax Number : 803-296-7030
Provider Business Practice Location Address
First Line : 8 RICHLAND MEDICAL PARK DR STE 100
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-8006
Country : US
Telephone Number : 803-434-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 05/18/2021

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