Individual
SWANEE MAE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 ASHDOWN PL, FAYETTEVILLE, NC 28311-2164
(336) 501-6078
Mailing address
508 ASHDOWN PL, FAYETTEVILLE, NC 28311-2164
(336) 501-6078
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
4474166
NC
376K00000X
Nurse's Aide
177605
NC
376K00000X
Nurse's Aide
Primary
—
NC
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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