Individual
JEFFREY WAYNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3209 COLONIAL DRIVE, COLUMBIA, SC 29203
(803) 434-6113
(803) 434-7231
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24397
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6680499
CIGNA
SC
01
—
P00031198
RAILROAD MEDICARE
SC
05
—
T84192
—
SC
Enumeration date
12/23/2005
Last updated
05/07/2024
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