Individual
VICKEY M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1771 CURTIS DR, IUKA, MS 38852-1001
(662) 423-6016
Mailing address
1771 CURTIS DR, IUKA, MS 38852-1001
(662) 423-6016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R824545
MS
Other
Enumeration date
09/19/2009
Last updated
09/19/2009
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