Individual
MARY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
320 HOSPITAL DR, MARTINSVILLE, VA 24112-1900
(276) 666-7864
Mailing address
108 N MARKET ST APT 202, DANVILLE, VA 24541-1126
(276) 666-7864
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
009926
NY
133V00000X
Registered Dietitian
Primary
86066637
NY
Other
Enumeration date
05/16/2018
Last updated
02/10/2020
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