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NPI Code Detail

MEDICARE: MRS. BETTY LEE ANDREWS-HALL

MEDICARE: MRS. BETTY LEE ANDREWS-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
1172A00000XDriver

General Provider Information

NPI Number : 1679744866
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETTY LEE ANDREWS-HALL
Provider Business Mailing Address
First Line : 128 SAINT NICHOLAS CIR
Second Line :
City : CANKTON
State : LA
Zip : 70584-5936
Country : US
Telephone Number : 337-668-4140
Fax Number :
Provider Business Practice Location Address
First Line : 128 SAINT NICHOLAS CIR
Second Line :
City : CANKTON
State : LA
Zip : 70584-5936
Country : US
Telephone Number : 337-668-4140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2008
Last Update Date : 03/17/2008

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Directions to “ MRS. BETTY LEE ANDREWS-HALL ” Practice Location

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