Individual
GREGORY L HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 N WILEY AVE, DONALSONVILLE, GA 39845-1120
(229) 524-2808
(229) 524-1272
Mailing address
804 N WILEY AVE, DONALSONVILLE, GA 39845-1120
(229) 524-2808
(229) 524-1272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051586
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000956117B
—
GA
01
—
051586
GA LICENSE
GA
Enumeration date
10/16/2006
Last updated
03/07/2023
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