Individual
DANIEL CRAWFORD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5145 SELLERS RD, SHALLOTTE, NC 28470
(910) 754-4441
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20910
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1808198001
CIGNA PAL
—
01
—
20910
STATE LICENSE
NC
01
—
24827
MEDCOST
—
01
—
38226
BCBS
NC
01
—
7990526
AETNA
—
05
—
8938226
—
NC
01
—
FH1000140
FIRST CAROLINA CARE
—
05
—
N20910
—
SC
Enumeration date
10/07/2005
Last updated
10/25/2020
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