Individual
COURTNEY K HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
207 MCBRIDE LN, SUMMERVILLE, SC 29486-7939
(843) 722-8000
Mailing address
2001 2ND AVE STE 101, SUMMERVILLE, SC 29486-7887
(843) 722-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4102
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2046
—
SC
Enumeration date
02/05/2010
Last updated
10/27/2023
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