Most Relevant Information
Provider Data
| NPI Number: | 1003203811 |
| Provider Name: | RICHARD HALL APRN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 19416 |
Most Important Dates
| Enumeration Date: | 04/20/2015 |
| Last Updated: | 06/21/2022 |
Provider Practice Location
1 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA
SC
292036834
Practice Location Phone/Fax
| Phone: | 8034346095 |
| Fax: | 8037580120 |
Provider Mailing Location
300 E MCBEE AVE FL 4
GREENVILLE
SC
296012842
Provider Mailing Phone/Fax
| Phone: | 8645228603 |
| Fax: |