Provider Demographics
NPI:1043022403
Name:HALL, JORAYIA TARENE
Entity type:Individual
Prefix:MRS
First Name:JORAYIA
Middle Name:TARENE
Last Name: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 1:5772 BROGDON RD
Mailing Address - Street 2:
Mailing Address - City:ALCOLU
Mailing Address - State:SC
Mailing Address - Zip Code:29001-9532
Mailing Address - Country:US
Mailing Address - Phone:803-566-1687
Mailing Address - Fax:
Practice Address - Street 1:5772 BROGDON RD
Practice Address - Street 2:
Practice Address - City:ALCOLU
Practice Address - State:SC
Practice Address - Zip Code:29001-9532
Practice Address - Country:US
Practice Address - Phone:803-566-1687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
SC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula