Individual
MR. CHARLES WILLIAM HALE IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED, VATL, ATC
Contact information
Practice address
402 E COLLEGE ST, BOX 143, BRIDGEWATER, VA 22812-1511
(540) 828-5763
Mailing address
402 E COLLEGE ST, BOX 143, BRIDGEWATER, VA 22812-1511
(540) 828-5763
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000318
VA
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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