Individual ProviderGairy F HallInternal MedicineAllopathic & Osteopathic PhysiciansPractice AddressNortheastern University, 135 Forsyth Building, Boston, MA 02115(617) 373-5190PECOS EnrollmentBased on the most recent information from CMS, provider Gairy F Hall does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1245392273Provider TypeIndividualFull NameHall, Gairy FCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date12/15/2006Last Updated7/8/2007Contact InformationPractice LocationPractice AddressNortheastern University, 135 Forsyth Building, Boston, MA 02115Phone(617) 373-5190FaxUnlisted FaxMailing LocationMailing Address160 Cherokee Rose Ln, Fairburn, GA 30213-3459Phone(617) 373-5190FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense227053Massachusetts