Provider Demographics
NPI:1235298290
Name:HALL, MOLLY B (DC)
Entity Type:Individual
Prefix:MISS
First Name:MOLLY
Middle Name:B
Last Name:HALL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N KING CHARLES RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1150
Mailing Address - Country:US
Mailing Address - Phone:919-539-6951
Mailing Address - Fax:
Practice Address - Street 1:800 SAINT MARYS ST STE 100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1457
Practice Address - Country:US
Practice Address - Phone:919-832-3365
Practice Address - Fax:919-832-8259
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3394111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor