Individual
ALLIE M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4900 COX RD, STE 150, GLEN ALLEN, VA 23060-6507
(804) 346-1780
(804) 346-1781
Mailing address
4900 COX RD, STE 150, GLEN ALLEN, VA 23060-6507
(804) 346-1780
(804) 346-1781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004981
VA
363A00000X
Physician Assistant
1983
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1728PA
—
SC
01
—
P01302511
RR MEDICARE
SC
Enumeration date
09/29/2013
Last updated
01/29/2018
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