person
Nicholas Robert Hall, PA
Medical Physician Assistant in South Boston, Virginia
NPI 1548530827

Nicholas Robert Hall is a Medical Physician Assistant based in Bristow, VA and is specialized in Medical. Nicholas Robert Hall practices in South Boston, VA and has the professional credentials of PA. The NPI Number for Nicholas Robert Hall is 1548530827 and holds a License No. (Virginia).

The current practice location address for Nicholas Robert Hall is 2210 Wilborn Ave, South Boston, VA and can be reached out via phone at 434-575-5864.

Location: 2210 Wilborn Ave, South Boston, VA, 20136-1716
person
Provider Profile Details
NPI Number
1548530827
Provider Name
Nicholas Robert Hall
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2210 Wilborn Ave, South Boston, VA, 20136-1716
Phone Number
434-575-5864
Fax Number
Provider Enumeration Date
01/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2210 Wilborn Ave
City
State
Zip
24592-1630
Phone Number
434-575-5864
Fax Number
person
Provider Business Mailing Address Details
Address
2210 Wilborn Ave
City
State
Zip
24592-1630
Phone Number
434-575-5864
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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