Individual
BRANDY NICOLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 W STONE DR, KINGSPORT, TN 37660-1049
(423) 245-6839
Mailing address
780 CECIL ST, PENNINGTON GAP, VA 24277-1279
(276) 219-2398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46765
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46765
LICENSE NUMBER
TN
Enumeration date
03/02/2023
Last updated
03/02/2023
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