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Individual

AMANDA NICOLE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1108 ROSS CLARK CIRCLE, DOTHAN, AL 36301-2911
(334) 793-8111
Mailing address
1108 ROSS CLARK CIRCLE, DOTHAN, AL 36301-2911
(334) 793-8111

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
802889
TX

Other

Enumeration date
09/23/2015
Last updated
02/14/2017
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