Individual
LISA LYNN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 N MAIN ST, BAXLEY, GA 31513-0070
(912) 367-8404
(912) 367-8405
Mailing address
117 N MAIN ST, BAXLEY, GA 31513-0070
(912) 367-8404
(912) 367-8405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019373
GA
Other
Enumeration date
11/25/2017
Last updated
08/19/2020
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