Dr. Jonathan Ray Hall, CRNA
Nurse Anesthetist, Certified Registered in Fayetteville, NC. Individual provider (NPI-1).
NPI number1083173769
StatusActive
Last updated in NPPESOct 6, 2022
Details
- NPI
- 1083173769
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonathan Ray Hall
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2019
- Certification date
- Oct 6, 2022
- Last updated
- Oct 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 296959 | NC | Yes |
Practice location
2053 Valleygate Dr Ste 102Fayetteville, NC 28304-3983
Phone 910-323-3757
Mailing address
4030 Wake Forest Rd Ste 349Raleigh, NC 27609-0010
Phone 509-768-2249
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