Organization
COREY HALL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY M HALL MD (MEDICAL DIRECTOR)
(225) 678-5316
Entity
Organization
Contact information
Practice address
606 COLONIAL DR, SUITE A, BATON ROUGE, LA 70806-6535
(225) 678-5316
(225) 927-6399
Mailing address
606 COLONIAL DR, BATON ROUGE, LA 70806-6535
(225) 678-5316
(225) 927-6399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14754R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1140651
—
LA
Enumeration date
06/02/2010
Last updated
06/02/2010
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