Individual
DR. TENECIA NYCHELLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 BROOKCREST CT, FAYETTEVILLE, GA 30215-8150
(678) 490-6998
Mailing address
100 BROOKCREST CT, FAYETTEVILLE, GA 30215-8150
(678) 490-6998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015077
GA
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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