Provider Demographics
NPI:1134194848
Name:HALL, SCOTT WARREN (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:WARREN
Last Name:HALL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 COX RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CLAUDVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24076-3207
Mailing Address - Country:US
Mailing Address - Phone:336-710-6991
Mailing Address - Fax:
Practice Address - Street 1:224 COX RIDGE RD
Practice Address - Street 2:
Practice Address - City:CLAUDVILLE
Practice Address - State:VA
Practice Address - Zip Code:24076-3207
Practice Address - Country:US
Practice Address - Phone:336-710-6991
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1596111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor