Individual
MICHELLE FOSTER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
3380 PADDOCKS PKWY, SUWANEE, GA 30024-9119
(678) 474-9633
(678) 474-9752
Mailing address
3340 PADDOCK PKWY, SUWANEE, GA 30024-9119
(678) 474-9633
(678) 679-5272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN157997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123163A
—
GA
05
—
003123163C
—
GA
Enumeration date
11/24/2008
Last updated
04/22/2020
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