Individual
MRS. CECELIA FOGLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 TAYLOR ST STE 5F, COLUMBIA, SC 29201-2951
(803) 434-4790
(803) 434-4799
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
21544
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
21544
SC
363LP2300X
Primary Care Nurse Practitioner
21544
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5510
—
SC
Enumeration date
08/15/2018
Last updated
03/19/2019
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