Individual
ROBERT-MATTHEW HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
9075 SANDIDGE CENTER CV, OLIVE BRANCH, MS 38654-3514
(662) 895-4949
(662) 893-1103
Mailing address
10131 VICTOR DR, OLIVE BRANCH, MS 38654-3379
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902176
MS
Other
Enumeration date
07/23/2017
Last updated
12/21/2020
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