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1770036105
JONATHAN HALL
FAYETTEVILLE, NC
NPI
1770036105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC PA5451)
Enumeration Date
2016-08-02
Last Update Date
2024-10-30
Business Address
JONATHAN HALL PA-C
7300 S RAEFORD RD
FAYETTEVILLE, NC 28304-6162
Phone number: 910-488-2120
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Mailing Address
JONATHAN HALL PA-C
257 N PRINCE HENRY WAY
CAMERON, NC 28326-5035
Phone number: 210-677-9089
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