Individual
MR. CLARK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 HEMLOCK STREET, MACON, GA 31201
(478) 633-1634
Mailing address
777 HEMLOCK ST # 165, MACON, GA 31201-2102
(478) 633-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15040
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/04/2023
Last updated
08/11/2023
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