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Individual

MICHELLE LYNETTE HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1704 WINKLER ST, WILKESBORO, NC 28697-2251
(336) 667-7246
(336) 667-7296
Mailing address
1704 WINKLER ST, WILKESBORO, NC 28697-2251
(336) 667-7246
(336) 667-7296

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1994
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
(89)0849M
NC
01
0849M
BLUE CROSS BLUE SHIELD
NC
01
2102265
MAMSI
NC
01
2686558
AETNA HMO
NC
01
53292
MEDCOST
NC
01
537642
AETNA PPO/POS
NC
01
542746
FOCUS
NC
01
5779
PARTNERS
NC
Enumeration date
09/12/2006
Last updated
07/08/2007
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