Individual
GEORGIA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5979 LAKESHORE RD, FORT GRATIOT, MI 48059-2826
(810) 385-6370
Mailing address
5979 LAKESHORE RD, FORT GRATIOT, MI 48059-2826
(103) 856-3700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704240246
MI
Other
Enumeration date
05/20/2021
Last updated
02/11/2025
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