Hall, Edward L
Hall, Edward L is an individual health care provider with primary practice located at 100 Mimosa Drive , Thomasville GA 31792. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Hall, Edward L can be contacted via phone (229) 226-8881.Contact Information
Primary practice address
100 Mimosa Drive
Thomasville GA 31792
Phone: (229) 226-8881
Fax: (229) 225-2165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 020724 | Georgia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 020724 | Georgia |
Profile Details
| NPI number | 1053390153 |
|---|---|
| LBN Legal business name | Hall, Edward L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Sep 17th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053390153 | NPPES |
| Georgia | Other | 110153551 | RAILROAD MEDICARE |
| Georgia | Other | 000264129B | RAILROAD MEDICARE |
| Georgia | MEDICAID | 000264129I | RAILROAD MEDICARE |
| Georgia | MEDICAID | 000264129B | RAILROAD MEDICARE |
| Georgia | Other | 207430 | RAILROAD MEDICARE |
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