Hall, Mary Lydia
Hall, Mary Lydia is an sole proprietor health care provider with primary practice located at 501 Avalon Way Ste C , Brandon MS 39047-7500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Hall, Mary Lydia can be contacted via phone (601) 573-7012.Contact Information
Primary practice address
501 Avalon Way Ste C
Brandon MS 39047-7500
Phone: (601) 573-7012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 903270 | Mississippi |
Profile Details
| NPI number | 1902366495 |
|---|---|
| LBN Legal business name | Hall, Mary Lydia |
| Credentials | AGPCNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2019 |
| Last updated | Jun 11th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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