Individual
RUSSELL D HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 LINER DR, GREENWOOD, SC 29646-2310
(864) 227-1115
(864) 227-2046
Mailing address
104 LINER DR, GREENWOOD, SC 29646-2310
(864) 227-1115
(864) 227-2046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SC16514
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL6268
—
SC
Enumeration date
10/03/2005
Last updated
02/04/2011
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