MARY LYDIA HALL

BRANDON, MS
NPI1902366495
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MS  903270)
Enumeration Date2019-03-21
Last Update Date2019-06-11
Business Address
Mrs. MARY LYDIA HALL AGPCNP
501 AVALON WAY STE C
BRANDON, MS 39047-7500
Phone number: 601-573-7012
Mailing Address
Mrs. MARY LYDIA HALL AGPCNP
911 CEDAR HILL DR
CLINTON, MS 39056-3701
Phone number: 601-594-6335
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