Provider Demographics
NPI:1487845368
Name:HALL, SHARI LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:LYNN
Last Name:HALL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:13523 BARRETT PARKWAY DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-3802
Mailing Address - Country:US
Mailing Address - Phone:636-938-6868
Mailing Address - Fax:636-938-1486
Practice Address - Street 1:1110 PROFESSIONAL CT
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5826
Practice Address - Country:US
Practice Address - Phone:240-420-3786
Practice Address - Fax:240-420-3786
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2011-05-12
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Provider Licenses
StateLicense IDTaxonomies
MDD65477207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G27302Medicare UPIN