Individual
TREVOR DAVID HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 201-6133
Mailing address
4980 CLIFTON GLENDALE RD, SPARTANBURG, SC 29307-3407
(315) 368-3478
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
254008
SC
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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