Basic Information
Provider Information
NPI: 1356582001
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HALL
FirstName: ERIN
MiddleName: CARLYLE
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 110 IRVING ST NW STE 4B39
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200103017
CountryCode: US
TelephoneNumber: 2028775190
FaxNumber: 2028773173
Practice Location
Address1: 110 IRVING ST NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200103017
CountryCode: US
TelephoneNumber: 2028775190
FaxNumber: 2028773173
Other Information
ProviderEnumerationDate: 03/10/2009
LastUpdateDate: 11/07/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMD040810MDN Allopathic & Osteopathic PhysiciansSurgery 
2086S0127XD0079340MDY Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery

No ID Information.


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