Provider Demographics
NPI:1053142141
Name:HALL, VICTORIA (RDN)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 VAN BUREN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-2778
Mailing Address - Country:US
Mailing Address - Phone:703-887-4165
Mailing Address - Fax:
Practice Address - Street 1:413 VAN BUREN ST STE 103
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-2778
Practice Address - Country:US
Practice Address - Phone:703-887-4165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered