Individual
MR. LASHLEY TODD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
801 W GORDON ST, THOMASTON, GA 30286-3426
(706) 647-8111
Mailing address
861 SW 78TH AVE, SUITE # 100-B, PLANTATION, FL 33324-3273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3757
GA
Other
Enumeration date
12/11/2006
Last updated
08/15/2009
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