MRS. JOHNETTA RENEE HALL


Address: 915 Ann St, New Iberia, LA 70560-5676
Phone: 3372565732

MRS. JOHNETTA RENEE HALL (NPI# 1295714624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295714624
Entity Type Individual
Full Name MRS. JOHNETTA RENEE HALL
Credential MEDICAL ASSISTANT
Practice Address 915 Ann St
New Iberia
LA 70560-5676
Mailing Address Po Box 10844
New Iberia
LA 70562-0844
Practice Telephone 3372565732
Practice Fax Number 3372565732
Mailing Telephone 3372565732
Mailing Fax Number 3372565732
Enumeration Date 2006-01-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170100000X Medical Genetics, Ph.D. Medical Genetics 9658742 LA Other Service Providers

Office Location

Street Address 915 ANN ST
City NEW IBERIA
State LA
Zip Code 70560-5676

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Taxonomy Information

Taxonomy Code 170100000X
Grouping Other Service Providers
Classification Medical Genetics, Ph.D. Medical Genetics

Taxonomy Definition

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None.

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NPI Name Taxonomy Address Enumeration
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1669633541 Evangeline Rachel Hall Franklin Medical Genetics, Ph.D. Medical Genetics 5640 Read Blvd Ste 540, New Orleans, LA 70127-7811 2008-06-23
1851420756 Faith S. Rickert Medical Genetics, Ph.D. Medical Genetics 1705 Viola St., Mandeville, LA 70448 2007-03-05
1003978545 Amite Physical Therapy Medical Genetics, Ph.D. Medical Genetics 216 N 2nd St, Amite, LA 70422-2408 2006-12-14
1578517066 Acceptance Physical Medicine & Rehabilitation Clinic, LLC Medical Genetics, Ph.D. Medical Genetics 2156 Wooddale Blvd, Suite 140, Baton Rouge, LA 70806-1403 2006-05-20
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1982981320 Accent Urgent Care Clinic LLC Medical Genetics, Ph.D. Medical Genetics 1821 Wooddale Ct, Suite 203, Baton Rouge, LA 70806-1535 2011-11-14
1245463710 Acceptance Kidmed of Louisiana LLC Medical Genetics, Ph.D. Medical Genetics 2708 Wooddale Blvd, Suite A2, Baton Rouge, LA 70805-7541 2009-08-31
1962644641 Acceptance Physical Medicine & Rehab Clinic, LLC Medical Genetics, Ph.D. Medical Genetics 2708 Wooddale Blvd, Suite A2, Baton Rouge, LA 70805-7541 2009-03-27
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Competitor

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City NEW IBERIA
Zip Code 70560

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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