Individual
SHALANDA LATRICE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
119 E UNION ST, MARSHVILLE, NC 28103-1142
(704) 624-7090
(704) 624-7029
Mailing address
119 E UNION ST, MARSHVILLE, NC 28103-1142
(704) 624-7090
(704) 624-7029
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
734
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
734
NC
213ES0131X
Foot Surgery Podiatrist
734
NC
Other
Enumeration date
05/31/2018
Last updated
11/13/2024
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