Hall, Russell D

Hall, Russell D is an individual health care provider with primary practice located at 104 Liner Dr , Greenwood SC 29646-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hall, Russell D can be contacted via phone (864) 227-1115.

Contact Information

Primary practice address
104 Liner Dr Greenwood SC 29646-2310
Fax: (864) 227-2046
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X SC16514 South Carolina

Profile Details

NPI number 1265429492
LBN Legal business name Hall, Russell D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Feb 4th, 2011 - about 15 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 1265429492 NPPES
South Carolina MEDICAID TL6268

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