Individual
DR. CLARENCE EDWARD HALL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12522 W. COLONIAL TRAIL HWY., CREWE, VA 23930
(434) 645-9191
(434) 645-1859
Mailing address
PO BOX 528, 12522 W. COLONIAL TRAIL HWY., CREWE, VA 23930-0528
(434) 645-9191
(434) 645-1859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101102561
VA
Other
Enumeration date
10/31/2006
Last updated
08/26/2008
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