Individual
MATTHEW DAVID HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-4771
Mailing address
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, BEAUFORT, SC 29902
(843) 228-4771
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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