Individual
DR. HAL LONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1203 N 3RD ST, FOLKSTON, GA 31537-1303
(904) 556-9593
Mailing address
PO BOX 15328, FERNANDINA BEACH, FL 32035-3106
(904) 556-9593
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS9096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271550300
—
FL
01
—
50108
BCBS
FL
Enumeration date
06/01/2005
Last updated
06/12/2009
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