Individual
SARABETH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2503 WALLACE DR SW, BOGUE CHITTO, MS 39629-5151
(601) 754-0585
Mailing address
2503 WALLACE DR SW, BOGUE CHITTO, MS 39629-5151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902774
MS
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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