Healthcare Provider Details

I. General information

NPI: 1851215461
Provider Name (Legal Business Name): PARIS SHAUNDRIA HALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6220 MURRAY DR APT 22A
HANAHAN SC
29410-2136
US

IV. Provider business mailing address

6220 MURRAY DR APT 22A
HANAHAN SC
29410-2136
US

V. Phone/Fax

Practice location:
  • Phone: 843-817-8336
  • Fax:
Mailing address:
  • Phone: 843-817-8336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: