Individual
DR. SHELLY L HALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4611 US HIGHWAY 17, ORANGE PARK, FL 32003-8245
(904) 264-4333
(904) 264-4301
Mailing address
4611 US HIGHWAY 17, ORANGE PARK, FL 32003-8245
(904) 264-4333
(904) 264-4301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0061916
FL
Other
Enumeration date
03/25/2006
Last updated
07/08/2007
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