Provider Demographics
NPI:1699550913
Name:MESHAWN HALL SUNSHINE AND SMILES
Entity type:Organization
Organization Name:MESHAWN HALL SUNSHINE AND SMILES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CBRS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MESHAWN
Authorized Official - Middle Name:LATOYA
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELOR'S
Authorized Official - Phone:252-509-9509
Mailing Address - Street 1:305 APPLE LN
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-8892
Mailing Address - Country:US
Mailing Address - Phone:252-509-9509
Mailing Address - Fax:
Practice Address - Street 1:305 APPLE LN
Practice Address - Street 2:
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-8892
Practice Address - Country:US
Practice Address - Phone:252-509-9509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health