Individual
DR. BRENT DWAYNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
336 DEERFIELD RD, BOONE, NC 28607-5008
(828) 262-4100
Mailing address
PO BOX 1867, BLUEFIELD, WV 24701-5867
(304) 323-4320
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8938287
—
NC
Enumeration date
04/13/2006
Last updated
04/03/2018
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