Individual
SHANTA MONIQUE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
423 OLDE PUCKETTS FERRY RD, GREENWOOD, SC 29649-8604
(803) 504-2212
Mailing address
423 OLDE PUCKETT FERRY RD, GREENWOOD, SC 29649
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
268044
SC
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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