Lisa M. Hall (NPI# 1346794260, PAC ID# 9830485325) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1346794260 |
| PAC ID by PECOS | 9830485325 |
| Professional Enrollment ID | I20160909000488 |
| Full Name | Lisa M. Hall |
| Organization Legal Name | CARY N METTETAL |
| Address |
401 E Lee St Suite B Sardis MS 38666-1227 |
| Phone Number | 6624870004 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3072591791 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250128 | PANOLA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 401 E Lee St, Suite B, Sardis, MS 38666-1227 | 6624870004 | CARY N METTETAL |
| Organization Legal Name | CARY N METTETAL |
| Physicians | 1 |
| Street Address |
401 E LEE ST SUITE B |
| City | SARDIS |
| State | MS |
| Zip | 38666-1227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cary N Mettetal | Family Medicine | 401 E Lee St, Suite B, Sardis, MS 38666-1227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda J Hood | Nurse Practitioner | 124 S Main St, Sardis, MS 38666-1721 | |
| Sallye S Scott | Optometry | 119 S Main St, The Eyecare Center, Sardis, MS 38666-1722 |
| City | SARDIS |
| Zip Code | 38666 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SARDIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa M. Hall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.