Individual
MRS. HEATHER J HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
470 NORTHSIDE CHEROKEE BLVD STE 490, CANTON, GA 30115
(678) 538-2167
(678) 538-2165
Mailing address
6600 PEACHTREE DUNWOODY RD STE 325, ATLANTA, GA 30328-6773
(404) 876-1906
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007729
GA
Other
Enumeration date
01/30/2007
Last updated
12/18/2020
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