Individual
DR. JONATHON CHASE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1 FREEDOM WAY, ATTN: DENTAL CLINIC, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1 FREEDOM WAY, ATTN: DENTAL CLINIC, AUGUSTA, GA 30904-6258
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014489
GA
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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