Individual
MELINDA SUE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 OLD COURTHOUSE RD, SUITE 140B, VIENNA, VA 22182-3822
(703) 991-6806
(703) 854-1180
Mailing address
8300 OLD COURTHOUSE RD, SUITE 140B, VIENNA, VA 22182-3822
(703) 226-4012
(703) 226-4010
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0101035022
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189115
ANTHEM
VA
01
—
2145117
MAMSI
—
01
—
2730784
CIGNA
—
01
—
N036-0001
CAREFIRST NAT'L CAPITAL A
DC
Enumeration date
08/17/2006
Last updated
04/17/2015
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