Individual
MR. CHRISTOPHER HALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4994 LOWER ROSWELL RD STE 5, MARIETTA, GA 30068-4332
(678) 615-7032
Mailing address
2150 PEACHFORD RD STE Q, ATLANTA, GA 30338-6539
(678) 615-7032
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10216
GA
Other
Enumeration date
03/03/2021
Last updated
08/11/2022
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