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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. FREDERICK JACQUES HALL, D.P.M.

Active Sole Proprietor

DR. FREDERICK JACQUES HALL, D.P.M. is a Foot Surgery Podiatrist healthcare provider located in SHREVEPORT, Louisiana. NPI 1154693968 is currently active in the NPPES registry. Verify at CMS.

Foot Surgery Podiatrist · SHREVEPORT, LA

Registration Details

NPI Number
1154693968
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2012 (14.483283434259 yrs)
Last Updated
Feb 8, 2012
Licenses
POD000612 (GA)
POD000612 (GA)
Sole Proprietor
Yes

Practice Information

Address
510 E STONER AVE
SHREVEPORT, LA, 711014243
Browse LA providers · Browse ZIP 71101
Phone
6786405685
Primary Specialty
Foot Surgery Podiatrist
213ES0131X
Additional Specialty
Foot Surgery Podiatrist

Other Foot Surgery Podiatrist Providers in SHREVEPORT, LA

Name Credential NPI
R. B. DRUMMOND DPM 1437126786
GREGORY W BRYAN DPM 1528035888
EVETTA LAVERN BORDEN DPM 1215946702
DR. SHEILA D. WASHINGTON D.P.M. 1235243767
DR. LAURENCE E WELKER D.P.M. 1427160951
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.