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Lisa Hall
NPI 1972017242 · on the registry since 2017 · sole proprietor
Practice
- Address
- 117 N Main St
Baxley, GA 31513 - Phone
- (912) 367-8404
- Fax
- (912) 367-8405
- Organisation at this address
- Abundant Life Pharmacy & Health Foods Inc
Abundant Life Pharmacy & Health Foods IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia