Hall, Cecelia Fogle
Hall, Cecelia Fogle is an individual health care provider with primary practice located at 1333 Taylor St Ste 5F , Columbia SC 29201-2951. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Hall, Cecelia Fogle can be contacted via phone (803) 434-4790.Contact Information
Primary practice address
1333 Taylor St Ste 5F
Columbia SC 29201-2951
Phone: (803) 434-4790
Fax: (803) 434-4799
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 21544 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 21544 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 21544 | South Carolina |
Profile Details
NPI number | 1912487422 |
---|---|
LBN Legal business name | Hall, Cecelia Fogle |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2018 |
Last updated | Mar 19th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912487422 | NPPES |
South Carolina | MEDICAID | NP5510 |
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