Individual
PERRY L HALL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1836 LOCUST AVENUE, SUITE 1, FAIRMONT, WV 26554
(304) 366-7767
(304) 366-8837
Mailing address
1836 LOCUST AVENUE, SUITE 1, FAIRMONT, WV 26554
(304) 366-7767
(304) 366-8837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WV1611
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055042000
—
WV
Enumeration date
06/13/2006
Last updated
03/30/2020
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