Individual
DR. CYNTHIA P HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
160 SAILORS DR, ELLIJAY, GA 30540-3743
(706) 276-2828
(706) 276-2826
Mailing address
152 CLEAR CREEK VALLEY TRL, ELLIJAY, GA 30536-7975
(706) 276-4685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011546
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001347148
UNITED CONCORDIA
GA
05
—
00912678A
—
GA
01
—
12088
AVESIS
GA
01
—
9180288
SCION
GA
Enumeration date
05/08/2007
Last updated
09/05/2013
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