Individual provider · Type 1 NPI

Cecelia Fogle Hall

Gerontology Nurse Practitioner · Columbia, SC

NPI number 1912487422 Active

Practice location

1333 Taylor St Ste 5F
Columbia, SC 29201-2951

Fax (803) 434-4799

Mailing address

PO Box 743904
Atlanta, GA 30374-3904

Specialties and licenses

TaxonomyCodeLicense
Urology Physician 208800000X21544 (SC)
Primary Care Nurse Practitioner 363LP2300X21544 (SC)
Gerontology Nurse Practitioner Primary 363LG0600X21544 (SC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1912487422

Cecelia Fogle Hall's National Provider Identifier is 1912487422, issued on Aug 15, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Columbia, SC. The record was last updated on Mar 19, 2019.