Individual
CHRISTINE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMSC, PA-C
Contact information
Practice address
3131 MAPLE DR NE, SUITE 102, ATLANTA, GA 30305-2515
(404) 816-7900
(404) 816-7929
Mailing address
PO BOX 52226, ATLANTA, GA 30355-0226
(404) 816-7900
(404) 816-7929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007113
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7113
GEORGIA MEDICAL LICENSE
GA
Enumeration date
09/24/2014
Last updated
02/02/2015
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