Individual
DR. JEFFREY S HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
9221 UNIVERSITY BLVD, BUILDING D, SUITE 1-A, NORTH CHARLESTON, SC 29406-9148
(843) 569-0904
(843) 569-0961
Mailing address
9221 UNIVERSITY BLVD, BUILDING D, SUITE 1-A, NORTH CHARLESTON, SC 29406-9148
(843) 569-0904
(843) 569-0961
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2921
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z29210
—
SC
05
—
ZA9890
—
SC
Enumeration date
05/06/2006
Last updated
06/28/2016
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