Individual
DR. TESIA SHANI HALL-HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5429 ROBINSON ROAD EXT, JACKSON, MS 39204
(601) 914-0163
(601) 914-0170
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 364-5159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18905
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00937242
—
MS
Enumeration date
04/30/2007
Last updated
05/04/2017
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