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Individual

CALTON HALL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C ATC

Contact information

Practice address
3475 ERWIN RD, DURHAM, NC 27705-0005
(919) 668-5416
Mailing address
JAMES MADISON UNIVERSITY, MSC 2301, HARRISONBURG, VA 22807-0001
(540) 578-0749

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126002070
VA
363AS0400X
Surgical Physician Assistant
Primary
0010-12695
NC

Other

Enumeration date
04/10/2015
Last updated
04/20/2023
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