Individual
DR. BETHANY MARIE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
139 CONFERENCE CENTER WAY STE 113, BRIDGEPORT, WV 26330-9147
(304) 599-8000
(304) 599-8003
Mailing address
1247 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1876
(304) 599-8000
(304) 599-8003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3045
WV
208D00000X
General Practice Physician
3045
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2014
Last updated
06/02/2021
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