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Individual
JEFFREY WAYNE HALL
Active
Individual
JEFFREY WAYNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24397
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6680499
CIGNA
SC
01
—
P00031198
RAILROAD MEDICARE
SC
05
—
T84192
—
SC
Enumeration date
12/23/2005
Last updated
05/07/2024
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