Individual
DR. JOHN DAVID HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 WATSON BLVD, WARNER ROBINS, GA 31093-3431
(800) 232-5703
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 395-4110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
062225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000947427B
—
GA
01
—
1699955757
BCBS OF GA
GA
Enumeration date
11/06/2007
Last updated
03/17/2010
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