Doctor Name: | CHRISTIAN CONNOR HALL |
NPI Number: | 1205074333 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.P.N.P |
License Number: | 5004029 |
Business Practice Address: | 114 Kinderton Blvd Advance, NC - 270067302 |
Business Phone Number: | 3369989742 |
Business Fax Number: | |
Mailing Address: | 1701 Westchester Dr, Suite 850 HIGH POINT |
State: | NC |
Postal Code: | 272627008 |
Phone Number: | 3368022400 |
Fax Number: | 3368022534 |
NPI Enumeration Date: | 01/27/2009 |
NPI Last Update Date: | 05/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 5004029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |