Individual
DR. MELANIE KEENE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 ORLEANS DR, HATTIESBURG, MS 39402-8675
(601) 579-5050
(601) 296-6872
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-0929
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22468
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03057378
—
MS
01
—
3631580
UNITED HEALTHCARE
MS
01
—
4148659
AETNA
MS
01
—
5481296
CIGNA
MS
01
—
6116068
HEALTHSPRING
MS
01
—
P01243908
RAILROAD MEDICARE
MS
Enumeration date
06/28/2010
Last updated
01/07/2021
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