MEDICARE: ANNA-LEAH HALL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1881235521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA-LEAH HALL

Provider Business Mailing Address
First Line	:	2501 HOFFMEYER RD
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29501-7406
Country	:	US
Telephone Number	:	843-496-2876
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 N MARQUIS HWY
Second Line	:
City	:	HARTSVILLE
State	:	SC
Zip	:	29550-3526
Country	:	US
Telephone Number	:	843-383-5164
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2019
Last Update Date	:	10/03/2019

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Directions to “ ANNA-LEAH HALL ” Practice Location

Language	Start Address	Practice Location

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