Individual
AUSTIN TODEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3400 OLD MILTON PKWY STE C290, ALPHARETTA, GA 30005-6491
(770) 667-4343
(770) 772-0937
Mailing address
1439 CHESHIRE WAY NE, BROOKHAVEN, GA 30319-3159
(770) 289-2320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00000
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2019
Last updated
10/01/2019
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