Provider Demographics
NPI:1134407075
Name:ROBERT A HALL MD LLC
Entity type:Organization
Organization Name:ROBERT A HALL MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTORNEY
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RONNING
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:912-355-8188
Mailing Address - Street 1:10 LONGFIELD CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-3513
Mailing Address - Country:US
Mailing Address - Phone:912-656-2596
Mailing Address - Fax:912-356-6970
Practice Address - Street 1:10 LONGFIELD CT
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-3513
Practice Address - Country:US
Practice Address - Phone:912-656-2596
Practice Address - Fax:912-356-6970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA64818208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty