Individual
DR. JEFFREY HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 PROMINENCE POINT PKWY, STE 104, CANTON, GA 30114-1236
(770) 704-6988
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055826
GA
Other
Enumeration date
10/05/2006
Last updated
08/22/2013
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