Individual
JONATHAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 488-2120
Mailing address
257 N PRINCE HENRY WAY, CAMERON, NC 28326-5035
(210) 677-9089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5451
SC
Other
Enumeration date
08/02/2016
Last updated
10/30/2024
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