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Individual

R ALAN HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
815 E 63RD ST, SAVANNAH, GA 31405-4420
(912) 355-8188
(912) 356-6970
Mailing address
PO BOX 30053, SAVANNAH, GA 31410-0053
(912) 355-8188

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64818
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD00031994
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0030021
LABOR & INDUSTRY
WA
01
780001652
RAILROAD MEDICARE
05
8169419
WA
01
HA0297
BLUE SHIELD
WA
01
MD5703W
ALASKA MEDICAID
WA
01
US0862357
AETNA/USHC SPECIALIST
WA
Enumeration date
08/30/2006
Last updated
06/15/2015
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