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Mrs. Cecelia Fogle Hall
Gerontology Nurse Practitioner in Columbia, South Carolina
NPI 1912487422

Cecelia Fogle Hall is a Gerontology Nurse Practitioner based in Atlanta, SC and is specialized in Gerontology. Cecelia Fogle Hall practices in Columbia, SC. The NPI Number for Cecelia Fogle Hall is 1912487422 and holds a License No. 21544 (South Carolina).

The current practice location address for Cecelia Fogle Hall is 1333 Taylor St Ste 5F, Columbia, SC and can be reached out via phone at 803-434-4790 and via fax at 803-434-4799. You can also correspond with Cecelia Fogle Hall through the mailing address at PO BOX 743904, ATLANTA, GA - 30374-3904 (mailing address contact number: 803-296-7320).

Location: 1333 Taylor St Ste 5F, Columbia, SC, 30374-3904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912487422
Provider Name
Cecelia Fogle Hall
Credential
Provider Entity Type
Individual
Gender
Female
Address
1333 Taylor St Ste 5F, Columbia, SC, 30374-3904
Phone Number
803-434-4790
Fax Number
803-434-4799
Provider Enumeration Date
08/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP5510 05 SC
institution
Provider Business Practice Location Address Details
Address
1333 Taylor St Ste 5F
City
Columbia
State
South Carolina
Zip
29201-2951
Phone Number
803-434-4790
Fax Number
803-434-4799
person
Provider Business Mailing Address Details
Address
1333 Taylor St Ste 5F
City
Columbia
State
South Carolina
Zip
29201-2951
Phone Number
803-434-4790
Fax Number
803-434-4799
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
21544 (South Carolina)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
21544 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
21544 (South Carolina)
Definition
Definition to come...
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