Individual
MR. CHAD E HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
755 WALTHER RD, LAWRENCEVILLE, GA 30045-8725
(678) 252-3735
Mailing address
2254 OAK FALLS LN, BUFORD, GA 30519-1993
(770) 271-4137
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001658
GA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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