Individual
CHRISTOPHER MARK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA - C
Contact information
Practice address
3686 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 922-6300
(706) 922-6303
Mailing address
3686 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 922-6300
(706) 922-6303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1550
GA
363AM0700X
Medical Physician Assistant
1550
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0540PA
—
SC
05
—
101891268B
—
GA
05
—
101891268C
—
GA
05
—
101891268D
—
GA
05
—
101891268E
—
GA
05
—
101891268F
—
GA
05
—
101891268G
—
GA
Enumeration date
06/29/2007
Last updated
02/21/2014
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