Individual
MYRA JANE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 MAGNOLIA SQUARE COURT, ABERDEEN, NC 28315-2226
(910) 944-0779
(910) 944-2298
Mailing address
210 MAGNOLIA SQUARE COURT, ABERDEEN, NC 28315-2226
(910) 944-0779
(910) 944-2298
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
36463
NC
207Q00000X
Family Medicine Physician
Primary
22874
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911477
—
NC
Enumeration date
06/13/2005
Last updated
05/04/2011
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