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Individual
JOHN DANIEL HALES III
Active
Individual
JOHN DANIEL HALES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2018-01079
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2018-01079
NC
Other
Enumeration date
04/30/2015
Last updated
03/30/2021
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