Zack Hall, Md Pllc | |
217 Turner Dr Ste F Reidsville NC 27320-5754 | |
(336) 342-6060 | |
(336) 342-6068 |
Full Name | Zack Hall, Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 217 Turner Dr Ste F, Reidsville, North Carolina |
Authorized Official Name and Position | Kathy Cheek (PRACTICE MANAGER) |
Authorized Official Contact | 3363426060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Zack Hall, Md Pllc 217 Turner Dr Ste F Reidsville NC 27320-5754 Ph: (336) 342-6060 | Zack Hall, Md Pllc 217 Turner Dr Ste F Reidsville NC 27320-5754 Ph: (336) 342-6060 |
NPI Number | 1003075219 |
---|---|
Provider Enumeration Date | 06/03/2008 |
Last Update Date | 04/18/2022 |
Medicare PECOS PAC ID | 9739249772 |
---|---|
Medicare Enrollment ID | O20081120000104 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003075219 | NPI | - | NPPES |
5907415 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | John Z Hall |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215961180 PECOS PAC ID: 0547268831 Enrollment ID: I20061121000267 |
Provider Name | Kaitlin Aynsley Boos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750785333 PECOS PAC ID: 2769704279 Enrollment ID: I20141210002486 |
Provider Name | Courtney S Keatts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073970539 PECOS PAC ID: 5395040364 Enrollment ID: I20160229002837 |
Provider Name | Emily B Sullivan |
---|---|
Provider Type | Practitioner - Physician Assistant |
Provider Identifiers | NPI Number: 1881916583 PECOS PAC ID: 1850530528 Enrollment ID: I20180426002867 |
Provider Name | Kyra Ann Mcclanahan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154805919 PECOS PAC ID: 6103162243 Enrollment ID: I20190110003509 |
Provider Name | Stephanie Matthews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083248470 PECOS PAC ID: 1658794623 Enrollment ID: I20200709000399 |
Provider Name | Joseph M Gray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427672682 PECOS PAC ID: 4981022126 Enrollment ID: I20200921000251 |
Provider Name | Lisa Ann Hamel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215569421 PECOS PAC ID: 9335530864 Enrollment ID: I20211217000023 |
Provider Name | Clare Daniel Doss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437804085 PECOS PAC ID: 8426426982 Enrollment ID: I20221115001969 |
Provider Name | Eboni Charde' Farmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891447314 PECOS PAC ID: 1658749924 Enrollment ID: I20221116003374 |
Provider Name | Brandi Rothrock Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750009353 PECOS PAC ID: 6002281342 Enrollment ID: I20230418002917 |
Provider Name | Derek Huffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861060600 PECOS PAC ID: 5799140091 Enrollment ID: I20230419003032 |
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