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Individual

SHERINE ANDRIA HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1005 ANSTON DR, ROSWELL, GA 30075-2979
(678) 477-6828
Mailing address
1005 ANSTON DR, ROSWELL, GA 30075-2979
(678) 477-6828

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN191878
GA
163WH0200X
Home Health Registered Nurse
RN191878
GA
163WN1003X
Nutrition Support Registered Nurse
RN191878
GA

Other

Enumeration date
06/21/2010
Last updated
06/21/2010
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