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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912487422 NPPES
South Carolina MEDICAID NP5510

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