Individual
MR. COREY M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2013 CENTRAL RD, SUITE B, BATON ROUGE, LA 70807-3918
(225) 774-1120
(225) 774-1158
Mailing address
2013 CENTRAL RD, SUITE B, BATON ROUGE, LA 70807-3918
(225) 774-1120
(225) 774-1158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14754R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-02516
UNITED HEALTH CARE
LA
05
—
1140651
—
LA
01
—
2000199
AETNA
LA
Enumeration date
05/26/2006
Last updated
03/03/2014
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