Individual
GREGORY DARYL HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 246-3500
(229) 243-3342
Mailing address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 246-3500
(229) 243-3342
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010747
GA
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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