Dr Jonathan Ray Hall, CRNA | |
2053 Valleygate Dr Ste 102, Fayetteville, NC 28304-3983 | |
(910) 323-3757 | |
Not Available |
Full Name | Dr Jonathan Ray Hall |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2053 Valleygate Dr Ste 102, Fayetteville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083173769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 296959 (North Carolina) | Primary |
Entity Name | Raleigh Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104962315 PECOS PAC ID: 6800874322 Enrollment ID: O20040712000418 |
Entity Name | Wayne Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750353462 PECOS PAC ID: 3971409079 Enrollment ID: O20070412000518 |
Mailing Address | Practice Location Address |
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Dr Jonathan Ray Hall, CRNA 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 Ph: (509) 768-2249 | Dr Jonathan Ray Hall, CRNA 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304-3983 Ph: (910) 323-3757 |
Mrs. Leesa Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365 | |
Mrs. Miriah Catherine Adams, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132 | |
Edelrose Fortea Bacanto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 805-509-7556 | |
Madison Brooke Reid, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 330-360-9528 | |
Miss Jennifer Shattuck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365 | |
Jennifer Myles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132 Fax: 910-321-6236 |