Individual
MATTHEW HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-3627
Mailing address
1540 TUCKAHOE RD, WAYNESBORO, VA 22980-5325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001292451
VA
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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