Individual
DR. TYLER RANDOLPH HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
495 MEAD ST SE, ATLANTA, GA 30315-2022
(404) 414-0005
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
95639
GA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
95639
GA
Other
Enumeration date
04/03/2017
Last updated
07/18/2023
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