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NPI Code Detail

MEDICARE: MRS. BARBARA EVETTE HALL

MEDICARE:  MRS. BARBARA EVETTE 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
1225700000XMassage Therapist3501NC

General Provider Information

NPI Number : 1174254510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA EVETTE HALL
Provider Business Mailing Address
First Line : 1995 PLEASANT ST UNIT 12214
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27117-0209
Country : US
Telephone Number : 336-734-3603
Fax Number :
Provider Business Practice Location Address
First Line : 1200 LINK RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-4616
Country : US
Telephone Number : 336-734-3603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2022
Last Update Date : 06/14/2023

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Directions to “ MRS. BARBARA EVETTE HALL ” Practice Location

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