Individual
MR. JORDAN LEE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30342-5000
(404) 847-9999
(404) 531-8466
Mailing address
5671 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30342-5000
(404) 847-9999
(404) 531-8466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002284
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127649B
—
GA
Enumeration date
05/30/2012
Last updated
02/19/2013
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