Individual
VERNON LANIER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA,RA RT(R)
Contact information
Practice address
3529 COLUMBIA PKWY, DECATUR, GA 30034-3321
(404) 343-1113
Mailing address
3529 COLUMBIA PKWY, DECATUR, GA 30034-3321
(404) 343-1113
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
07GA1282
UT
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
213758
GA
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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