Individual
HEATHER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6070 LAKESIDE COMMONS DR, MACON, GA 31210-5778
(478) 254-2644
(478) 254-4924
Mailing address
6070 LAKESIDE COMMONS DR, MACON, GA 31210-5778
(478) 254-2644
(478) 254-4924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN215477
GA
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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