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Contact Information

RICHARD A HALL II
103 MEDICAL PARK FL 2
HATTIESBURG, MS39401-9042
 Phone: 601-268-5630
 Fax: 601-579-5240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RICHARD A HALL II · (Male)

NPI Number 1902282742
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2015
Last updated 09/16/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # PA00592
Hospital affiliation(s)
  • FORREST GENERAL HOSPITAL - (Acute Care)
    6051 US HIGHWAY 49
    HATTIESBURG, MS 39404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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