| Doctor Name: | RICHARD HALL |
| NPI Number: | 1003203811 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 19416 |
| Business Practice Address: | 1278 N Lafayette Dr Sumter, SC - 291502964 |
| Business Phone Number: | 8037744500 |
| Business Fax Number: | |
| Mailing Address: | 1278 N Lafayette Dr, SUMTER |
| State: | SC |
| Postal Code: | 291502964 |
| Phone Number: | 8037744500 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2015 |
| NPI Last Update Date: | 04/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 19416 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |