Individual
STEPHANIE DEFEO HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
361 BLACKBERRY LN, MYRTLE BEACH, SC 29579-1825
(843) 424-7156
Mailing address
361 BLACKBERRY LN, MYRTLE BEACH, SC 29579-1825
(843) 424-7156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27537
SC
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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