Individual
VIRGINIA I HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2720 SUSNET BLVD, WEST COLUMBIA, SC 29169
(803) 791-2000
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
20207
SC
363LF0000X
Family Nurse Practitioner
20207
SC
Other
Enumeration date
08/29/2016
Last updated
11/06/2020
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