Individual
CARRIE KEENAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, APRN
Contact information
Practice address
1506 N LIMESTONE ST STE C, GAFFNEY, SC 29340-4747
(864) 487-4573
(864) 488-0966
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19610
SC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
19610
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3455
—
SC
01
—
SC64606162
MEDICARE PIN
SC
01
—
SC6460H918
MEDICARE PIN
SC
01
—
SC6460J577
MEDICARE PIN
SC
Enumeration date
07/23/2015
Last updated
01/14/2021
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