Provider Demographics
NPI:1619853421
Name:HALL, BRIANTE (CNA)
Entity type:Individual
Prefix:
First Name:BRIANTE
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2120 E FIRE TOWER RD STE 1086
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-9284
Mailing Address - Country:US
Mailing Address - Phone:833-762-2767
Mailing Address - Fax:252-565-0554
Practice Address - Street 1:2192 EVANS ST STE 6
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5760
Practice Address - Country:US
Practice Address - Phone:833-762-2767
Practice Address - Fax:252-565-0554
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician