Individual
MRS. VIRGINIA A HALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1115 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 354-4813
(912) 354-7569
Mailing address
PO BOX 15238, SAVANNAH, GA 31416-1938
(912) 354-4813
(912) 354-7569
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R00079381
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
R039856
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00929255A
—
GA
05
—
NP0564
—
SC
Enumeration date
06/02/2005
Last updated
08/07/2014
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