Individual
DR. GREGORY BRUNO HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
150 FAIRVIEW RD, SUITE 300, MOORESVILLE, NC 28117-9504
(704) 664-6677
(704) 663-1009
Mailing address
150 FAIRVIEW RD, SUITE 300, MOORESVILLE, NC 28117-9504
(704) 664-6677
(704) 663-1009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9600335
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8938320
—
NC
Enumeration date
08/23/2005
Last updated
09/24/2010
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