Individual
DENA R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3920 BRIDGE RD, BLDG A STE 207, SUFFOLK, VA 23435-1117
(757) 983-2240
(757) 983-2241
Mailing address
3920 BRIDGE RD, BLDG A STE 207, SUFFOLK, VA 23435-1117
(757) 983-2240
(757) 983-2241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101045773
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010025711
—
VA
Enumeration date
07/20/2005
Last updated
07/24/2015
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