Hall, Mauverine Jo

Hall, Mauverine Jo is an individual health care provider with primary practice located at 3010 Falstaff Rd , Raleigh NC 27610-1813. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Hall, Mauverine Jo can be contacted via phone (919) 212-9230.

Contact Information

Primary practice address
3010 Falstaff Rd Raleigh NC 27610-1813
Phone: (919) 212-9230
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036139295 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24786 Kentucky
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 94-00819 North Carolina

Profile Details

NPI number 1609854124
LBN Legal business name Hall, Mauverine Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Mar 17th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609854124 NPPES
North Carolina MEDICAID 89-38385

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