| Doctor Name: | TAMARA C HALL |
| NPI Number: | 1356401517 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN ACNP |
| License Number: | 0024165987 |
| Business Practice Address: | 86 Harris Dr. Kilmarnock, VA - 22482 |
| Business Phone Number: | 8044352651 |
| Business Fax Number: | |
| Mailing Address: | Po Box 535, BURGESS |
| State: | VA |
| Postal Code: | 224320535 |
| Phone Number: | 8044537517 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 07/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 0024165987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |