Individual
ANTONIO DEMETRIOUS HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10400 BLACKLICK EASTERN RD, PICKERINGTON, OH 43147-8235
(614) 726-7359
Mailing address
2412 HOLT AVE, COLUMBUS, OH 43219-1451
(614) 623-8489
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
06/19/2024
Last updated
06/28/2024
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