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Individual

KATHLEEN HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
511 CROSS ANCHOR RD, WOODRUFF, SC 29388-2328
(864) 278-6031
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21213
SC

Other

Enumeration date
09/15/2017
Last updated
01/14/2021
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