Individual
KRISHAYLA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 WYLDS RD STE B1, AUGUSTA, GA 30909-5423
(706) 922-6310
Mailing address
3194 LEXINGTON WAY, AUGUSTA, GA 30909-9231
(706) 627-1916
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
051709978
GA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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