| Ryan C. W. Hall, Md, Pa | |
|
2500 W Lake Mary Blvd Ste 219 Lake Mary FL 32746-3501 | |
| (407) 322-8199 | |
| (407) 322-8169 |
| Full Name | Ryan C. W. Hall, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2500 W Lake Mary Blvd Ste 219, Lake Mary, Florida |
| Authorized Official Name and Position | Ryan Chaloner Winton Hall (PRESIDENT) |
| Authorized Official Contact | 4073228199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan C. W. Hall, Md, Pa 2500 W Lake Mary Blvd Ste 219 Lake Mary FL 32746-3501 Ph: (407) 322-8199 | Ryan C. W. Hall, Md, Pa 2500 W Lake Mary Blvd Ste 219 Lake Mary FL 32746-3501 Ph: (407) 322-8199 |
| NPI Number | 1629051941 |
|---|---|
| Provider Enumeration Date | 11/21/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629051941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0014470 (Florida) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 013895 (Georgia) | Secondary |
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