Organization
ANITA CHARLENE HALL APRN-BC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA CHARLENE HALL APRN-BC (OWNER)
(228) 331-3310
Entity
Organization
Contact information
Practice address
8990 LORRAINE RD, GULFPORT, MS 39503-4176
(228) 331-3310
(228) 284-1608
Mailing address
8990 LORRAINE RD, GULFPORT, MS 39503-4176
(228) 331-3310
(228) 284-1608
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
702439
MS
Other
Enumeration date
01/23/2018
Last updated
02/17/2023
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