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Individual

MAUVERINE JO HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3010 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 212-9230
Mailing address
284 BALMORAL STREET, CLAYTON, NC 27520-4044

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036139295
IL
207Q00000X
Family Medicine Physician
24786
KY
207QA0505X
Adult Medicine Physician
Primary
94-00819
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89-38385
NC
Enumeration date
01/04/2006
Last updated
03/17/2018
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