Individual
PETER T HALLOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(434) 924-2150
(434) 243-9433
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101244376
VA
208600000X
Surgery Physician
35-070624
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204800
UNISON
OH
01
—
000000503725
ANTHEM
—
05
—
1689696809
—
VA
05
—
2270251
—
OH
01
—
363607
WELLCARE
OH
01
—
738059
BUCKEYE
OH
01
—
7911277
AETNA
—
01
—
P00120698
RAILROAD MEDICARE - UHPL
OH
Enumeration date
07/24/2006
Last updated
07/31/2021
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