Individual
DR. WAYNE ANDREW HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 832-8035
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30355
NC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
30355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24818
MEDCOST
NC
01
—
38276
BCBS NC
NC
01
—
5184053
AETNA
NC
05
—
8938276
—
NC
01
—
9074
PARTNERS MEDICARE CHOICE
NC
Enumeration date
05/30/2006
Last updated
04/05/2013
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