Individual
SANDRA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1802 S 17TH ST, WILMINGTON, NC 28401-6444
(910) 343-1031
(910) 341-1050
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
(910) 251-8824
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0301237
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135Y7
BCBS NC
NC
05
—
89135Y7
—
NC
01
—
P00397726
RAILROAD MEDICARE
NC
Enumeration date
08/30/2006
Last updated
08/07/2014
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