Individual
MR. BLAINE PAXTON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
DUKE UNIVERSITY MEDICAL CENTER, DUMC 3704, DURHAM, NC 27710-0001
(919) 684-2705
Mailing address
245 SUGAR PINE DR, PINEHURST, NC 28374-9307
(910) 295-9561
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0101453
NC
Other
Enumeration date
05/03/2006
Last updated
12/03/2007
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