Individual
MR. JEFFREY WARREN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2382 SADLER RD, ST 1, FERNANDINA BEACH, FL 32034-4548
(904) 261-0622
Mailing address
96014 SEA WINDS DR, FERNANDINA BEACH, FL 32034-8500
(904) 261-8448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA8605
FL
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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