Individual
DR. KEISHA NICOLE DENNARD-HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3890 JOHNS CREEK PKWY, SUITE 300, SUWANEE, GA 30024-1284
(678) 775-2300
(678) 775-2359
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
058877
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
058877
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331793264B
—
GA
05
—
331793264F
—
GA
05
—
331793264G
—
GA
05
—
331793264H
—
GA
Enumeration date
03/09/2006
Last updated
08/08/2013
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