Individual
DR. NINA KEITH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY STE 250, MATTHEWS, NC 28105-5331
(704) 841-1444
(704) 849-2520
Mailing address
PO BOX 604350, CHARLOTTE, NC 28260-4350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200486
LA
208600000X
Surgery Physician
Primary
2017-01535
NC
208600000X
Surgery Physician
MD200486
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1590321
—
LA
Enumeration date
11/02/2005
Last updated
03/26/2025
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