Provider Demographics
NPI:1023087053
Name:HALL, ERIC CHRISTOPHER (LAT, ATC)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:CHRISTOPHER
Last Name:HALL
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1415 HELMSDALE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5210
Mailing Address - Country:US
Mailing Address - Phone:919-481-6643
Mailing Address - Fax:
Practice Address - Street 1:638 WALNUT ST
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4299
Practice Address - Country:US
Practice Address - Phone:919-406-3549
Practice Address - Fax:919-670-4289
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2255A2300X2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer