Individual
JENNY LIND HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
207 LEE ST, GOLDSBORO, NC 27530-3821
(919) 734-8007
(919) 736-4048
Mailing address
207 LEE ST, GOLDSBORO, NC 27530-3821
(919) 734-8007
(919) 736-4048
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
221
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08067
BLUE CROSS BLUE SHIELD
NC
01
—
08067
STATE OF NC
NE
01
—
1689706905
FACILITY NPI # WAYNE FOOT SPECIALISTS
NC
01
—
480019991
MEDICARE RAILROAD
NC
01
—
561802185
TRICARE
NC
05
—
8908067
—
NC
Enumeration date
10/23/2006
Last updated
11/05/2009
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