Individual
DR. HENRY GRADY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
101 E MCINTOSH ST, MILLEDGEVILLE, GA 31061-3425
(478) 452-4415
(478) 453-8378
Mailing address
101 E MCINTOSH ST, MILLEDGEVILLE, GA 31061-3425
(478) 452-4415
(478) 453-8378
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10327
GA
Other
Enumeration date
12/11/2006
Last updated
10/05/2011
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