Individual
CHARLES DANIEL HALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610B OCEAN HWY W, SUPPLY, NC 28462-4048
(910) 754-6220
(910) 754-6216
Mailing address
PO BOX 406, SUPPLY, NC 28462-0406
(910) 754-6220
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
9401205
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-28877
UNITED HEALTHCARE
NC
01
—
38465
BCBSNC
NC
05
—
8938465
—
NC
Enumeration date
05/30/2006
Last updated
07/09/2007
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