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Individual

MICHEAL A HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3855 PLEASANT HILL RD STE 470, DULUTH, GA 30096-1417
(678) 312-7280
(678) 312-7299
Mailing address
3855 PLEASANT HILL RD STE 470, DULUTH, GA 30096-1417
(678) 312-7280
(678) 312-7299

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36432
AL
208600000X
Surgery Physician
Primary
88185
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1968463
LA
Enumeration date
03/20/2009
Last updated
05/08/2021
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