Basic Information
| Provider Information | |||||||||
| NPI: | 1134407075 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROBERT A HALL MD LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 LONGFIELD CT | ||||||||
| Address2: | |||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314103513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9126562596 | ||||||||
| FaxNumber: | 9123566970 | ||||||||
| Practice Location | |||||||||
| Address1: | 10 LONGFIELD CT | ||||||||
| Address2: | |||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314103513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9126562596 | ||||||||
| FaxNumber: | 9123566970 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2011 | ||||||||
| LastUpdateDate: | 07/26/2011 | ||||||||
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| AuthorizedOfficialLastName: | RONNING | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
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| AuthorizedOfficialTitleorPosition: | ATTORNEY | ||||||||
| AuthorizedOfficialTelephone: | 9123558188 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | JD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208G00000X | 64818 | GA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
No ID Information.