Individual
SAMUEL E. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1508
(336) 718-1000
(336) 718-1052
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-1000
(336) 718-1052
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
97-00575
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910467
—
NC
Enumeration date
02/06/2006
Last updated
10/25/2020
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