Individual
DR. JAMES REGINALD HALL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(318) 918-4108
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(318) 918-4108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009054
GA
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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