Individual
MRS. AMANDA KERR HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1219 W WHEELER PKWY, AUGUSTA, GA 30909-1899
(706) 854-9416
(706) 364-5455
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
91917
GA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
91917
GA
390200000X
Student in an Organized Health Care Education/Training Program
250342
NC
Other
Enumeration date
03/26/2019
Last updated
07/31/2024
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