Individual
GENTZON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27710-0001
(919) 970-4726
Mailing address
2301 ERWIN RD, DURHAM, NC 27710-0001
(919) 970-4726
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
141636
NC
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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