Individual
ANDREA LYNN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1645 NORTH MAIN STREET, BLACKSBURG, VA 24060
(540) 552-1246
(540) 552-1247
Mailing address
1645 NORTH MAIN STREET, BLACKSBURG, VA 24060
(540) 552-1246
(540) 552-1247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116018160
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144437492
—
VA
Enumeration date
05/17/2007
Last updated
08/29/2011
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