Individual
DR. SHAI TANYETTE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1503 MCMILLAN AVE, BREWTON, AL 36426-1132
(251) 809-6058
Mailing address
1503 MCMILLAN AVE, BREWTON, AL 36426-1132
(404) 210-9297
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5969-C
AL
1223G0001X
General Practice Dentistry
DN012976
GA
Other
Enumeration date
02/26/2007
Last updated
08/17/2011
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