Kelly Anne Hall, RD | |
129 N Washington St, Sumter, SC 29150-4949 | |
(803) 774-8674 | |
(803) 774-8985 |
Full Name | Kelly Anne Hall |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 129 N Washington St, Sumter, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083804389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Prisma Health Tuomey |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548625593 PECOS PAC ID: 2163728528 Enrollment ID: O20160310001016 |
Mailing Address | Practice Location Address |
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Kelly Anne Hall, RD 129 N Washington St, Sumter, SC 29150-4949 Ph: (803) 774-8674 | Kelly Anne Hall, RD 129 N Washington St, Sumter, SC 29150-4949 Ph: (803) 774-8674 |
Mr. Michael B Coseo, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1278 N. Lafayette Drive, Sumter, SC 29150 Phone: 610-906-2432 | |
Elizabeth Ellen Elliott, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-8899 Fax: 803-774-8985 | |
Scott Cook, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-8675 Fax: 803-774-8985 | |
Michael Crosier, Dietitian Medicare: Medicare Enrolled Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-8676 | |
Tiffany Oster, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-774-8674 |