Individual
JOHN DAVID HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6809 FAIRVIEW RD, CHARLOTTE, NC 28210-3336
(704) 796-4009
Mailing address
5567 YORKE ST NW, CONCORD, NC 28027-5333
(704) 796-4009
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
200500309
NC
2084P0800X
Psychiatry Physician
Primary
200500309
NC
2084P0802X
Addiction Psychiatry Physician
200500309
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900513
—
NC
Enumeration date
01/27/2006
Last updated
10/02/2008
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