Provider Demographics
NPI:1710764964
Name:PERRY-HALL, RASHUNDA
Entity Type:Individual
Prefix:
First Name:RASHUNDA
Middle Name:
Last Name:PERRY-HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 WOODBURY CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36110-2057
Mailing Address - Country:US
Mailing Address - Phone:334-781-9866
Mailing Address - Fax:333-346-1249
Practice Address - Street 1:3820 WOODBURY CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36110-2057
Practice Address - Country:US
Practice Address - Phone:334-781-9866
Practice Address - Fax:334-612-4957
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory