| Renae C Hall | |
|
4419 Pheasant Ridge Rd Ste 200 Roanoke VA 24014-5267 | |
| (544) 092-2248 | |
| (540) 378-6044 |
| Full Name | Renae C Hall |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4419 Pheasant Ridge Rd Ste 200, Roanoke, Virginia |
| Authorized Official Name and Position | Maria Weaver (OFFICE MANAGER) |
| Authorized Official Contact | 5405298543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renae C Hall 610 Power Dam Rd Rocky Mount VA 24151-6078 Ph: (540) 922-2483 | Renae C Hall 4419 Pheasant Ridge Rd Ste 200 Roanoke VA 24014-5267 Ph: (544) 092-2248 |
| NPI Number | 1114600210 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114600210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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