Most Relevant Information
Provider Data
| NPI Number: | 1003495433 |
| Provider Name: | ZACHARY THOMAS HALL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/04/2021 |
| Last Updated: | 06/20/2024 |
Provider Practice Location
390 S MAIN ST STE 201
ROCKY MOUNT
VA
241511767
Practice Location Phone/Fax
| Phone: | 5404844800 |
| Fax: | 5404844847 |
Provider Mailing Location
213 S JEFFERSON ST STE 1006
ROANOKE
VA
240111713
Provider Mailing Phone/Fax
| Phone: | 5402245705 |
| Fax: |