Provider Demographics
NPI:1508445743
Name:HALL, RACHEL ANNE (DO)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE
Last Name:HALL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 MEDICAL PKWY STE 350
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3081
Mailing Address - Country:US
Mailing Address - Phone:443-481-1091
Mailing Address - Fax:
Practice Address - Street 1:2003 MEDICAL PKWY STE 350
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3081
Practice Address - Country:US
Practice Address - Phone:443-481-1091
Practice Address - Fax:443-949-7380
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program