Individual
HAL B WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E 2ND ST, KENLY, NC 27542-7794
(919) 284-4025
(919) 284-5965
Mailing address
PO BOX 275, KENLY, NC 27542-0275
(919) 284-4025
(919) 284-5965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20222
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110034167
RAILROAD MEDICARE
NC
01
—
89096
BC
NC
05
—
8989096
—
NC
Enumeration date
06/08/2006
Last updated
03/18/2015
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