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NPI Code Detail

MEDICARE: LLOYD S HALE DPM

MEDICARE:   LLOYD S HALE  DPM
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
1213E00000XPodiatrist380NC
2213EP1101XPrimary Podiatric Medicine Podiatrist380NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20800AOTHERNCBCBS

General Provider Information

NPI Number : 1619963048
Entity Type Code : Individual
Provider Name (Legal Business Name) : LLOYD S HALE DPM
Provider Business Mailing Address
First Line : PO BOX 2757
Second Line :
City : BRYSON CITY
State : NC
Zip : 28713-1730
Country : US
Telephone Number : 828-488-8200
Fax Number : 828-488-8221
Provider Business Practice Location Address
First Line : 80 BRYSON WALK
Second Line :
City : BRYSON CITY
State : NC
Zip : 28713-8731
Country : US
Telephone Number : 828-488-8200
Fax Number : 828-488-8221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 05/22/2019

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