Individual
RASHEEDA CROWELL HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 W FREEDOM DR, LIBERTY, MS 39645-7295
(601) 657-8091
(833) 314-0337
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 450-0794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24033
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00028059
—
MS
01
—
14200819
CAQH - MS
MS
01
—
598485YJ69
MS MEDICARE
MS
Enumeration date
06/20/2012
Last updated
01/15/2025
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