Provider Demographics
NPI:1447563499
Name:ANOINTED NEPHROLOGY & HTN PLLC
Entity Type:Organization
Organization Name:ANOINTED NEPHROLOGY & HTN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-320-3922
Mailing Address - Street 1:747 INDUSTRIAL PARK RD NE
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:39601-2065
Mailing Address - Country:US
Mailing Address - Phone:601-833-4111
Mailing Address - Fax:601-833-1444
Practice Address - Street 1:747 INDUSTRIAL PARK RD NE
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:MS
Practice Address - Zip Code:39601-2065
Practice Address - Country:US
Practice Address - Phone:601-833-4111
Practice Address - Fax:601-833-1444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS18365174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty