Individual
ELIZABETH O'BRIANT HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW STE 203, ROANOKE, VA 24014
(540) 982-8204
(540) 224-1059
Mailing address
2001 CRYSTAL SPRING AVE SW STE 203, ROANOKE, VA 24014-2465
(540) 982-8204
(540) 224-1059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9102712
FL
363AM0700X
Medical Physician Assistant
Primary
0110003212
VA
Other
Enumeration date
06/25/2007
Last updated
05/03/2019
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