Individual
DR. JONATHAN R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
725 S COLLEGE AVE, BLUEFIELD, VA 24605-1640
(276) 326-3376
Mailing address
725 S COLLEGE AVE, BLUEFIELD, VA 24605-1640
(276) 326-3376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102204981
VA
207R00000X
Internal Medicine Physician
Primary
3129
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VVP630C113
—
VA
Enumeration date
04/15/2014
Last updated
04/08/2022
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