Individual
DR. JONATHAN RAY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2053 VALLEYGATE DR STE 102, FAYETTEVILLE, NC 28304-3983
(910) 323-3757
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(509) 768-2249
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
296959
NC
Other
Enumeration date
03/13/2019
Last updated
10/06/2022
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