Individual
MR. MICHAEL CORY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
503 W MARTINTOWN ROAD, NORTH AUGUSTA, SC 29841
(803) 278-2223
(803) 278-2636
Mailing address
503 W MARTINTOWN ROAD, NORTH AUGUSTA, SC 29841
(803) 278-2223
(803) 278-2636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9132
SC
122300000X
Dentist
DN015458
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2017
Last updated
10/08/2019
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