MEDICARE: S A HALL M D PA

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1497724314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S A HALL M D PA

Provider Business Mailing Address
First Line	:	PO BOX 769
Second Line	:
City	:	HELENA
State	:	AR
Zip	:	72342-0769
Country	:	US
Telephone Number	:	870-338-8308
Fax Number	:	870-338-7702

Provider Business Practice Location Address
First Line	:	812 NEWMAN DR
Second Line	:	SUITE B
City	:	HELENA
State	:	AR
Zip	:	72342-8950
Country	:	US
Telephone Number	:	870-338-8308
Fax Number	:	870-338-7702

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	CAROL CATLETT
Credential	:
Telephone Number	:	870-338-8308

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	06/24/2008

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Directions to “S A HALL M D PA ” Practice Location

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