Individual
MRS. HEATHER S HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1141 OPAL CT, HAGERSTOWN, MD 21740-5976
(301) 791-6666
Mailing address
1141 OPAL CT, HAGERSTOWN, MD 21740-5976
(301) 791-6666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003281
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926580505
—
MD
05
—
926580509
—
MD
Enumeration date
07/17/2006
Last updated
10/02/2024
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