| Doctor Name: | MRS. MARY AUSTIN WOLF HALL |
| NPI Number: | 1699133025 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | HAL104397652 |
| Business Practice Address: | 2846 Moody Pkwy Suite 300 Moody, AL - 350043328 |
| Business Phone Number: | 2056401756 |
| Business Fax Number: | 2056401796 |
| Mailing Address: | 2846 Moody Pkwy, Suite 300 MOODY |
| State: | AL |
| Postal Code: | 350043328 |
| Phone Number: | 2056401756 |
| Fax Number: | 2056401796 |
| NPI Enumeration Date: | 01/30/2016 |
| NPI Last Update Date: | 03/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | HAL104397652 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |