Individual
JONATHAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
201026
NC
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
2016-02067
NC
207QA0401X
Addiction Medicine (Family Medicine) Physician
72218
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
92771
GA
Other
Enumeration date
06/10/2014
Last updated
08/21/2025
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