Individual
MR. MARK EDWARD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C
Contact information
Practice address
3413 COX RD, RICHMOND, VA 23233-2001
(804) 527-1460
Mailing address
3413 COX RD, RICHMOND, VA 23233-2001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001010
VA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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