Individual
OLIVIA HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DECATUR ST SE, ATLANTA, GA 30303-3204
(404) 413-6200
Mailing address
210 SAMPSON ST NE APT 8, ATLANTA, GA 30312-1441
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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