Individual
GREGORY ALAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34876
SC
207P00000X
Emergency Medicine Physician
35081891H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317060
ANTHEM/BCBS
OH
01
—
000000335406
ANTHEM BCBS
OH
01
—
P00105201
MEDICARE RAILROAD
OH
Enumeration date
05/13/2006
Last updated
08/27/2012
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