Shelly L. Hall M.d., P.a.

NPI #1841231610 in Orange Park, Florida

Provider Information

NPI Number: 1841231610
Entity Type: Organization
Organization Name: Shelly L. Hall M.d., P.a.
Primary Specialty: Pediatrics
Enumeration Date: Jun 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4611 US HIGHWAY 17
Address 2: SUITE 2
City: Orange Park
State: Florida
ZIP Code: 32003-8245
Phone: (904) 264-4333

Authorized Official

Name: DR. SHELLY L. HALL, MD
Title: PRESIDENT
Phone: (904) 264-4333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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