Individual
AMANDA FAYE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
135 N PARK PL STE 101, STOCKBRIDGE, GA 30281-7237
(770) 892-0300
(470) 878-1495
Mailing address
135 N PARK PL STE 101, STOCKBRIDGE, GA 30281-7237
(770) 892-0300
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
09/15/2022
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