MRS. Mary Lydia Hall, AGPCNP
NPI #1902366495 in Brandon, Mississippi
Provider Information
- NPI Number
- 1902366495
- Entity Type
- Individual
- Name
- MRS. Mary Lydia Hall, AGPCNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- AGPCNP
- Enumeration Date
- Mar 21, 2019
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 501 AVALON WAY STE C
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39047-7500
- Phone
- (601) 573-7012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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