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Individual

ASHLEY IMAN HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
4905 COURTNEY DR, FOREST PARK, GA 30297-1427
(404) 366-3636
Mailing address
3290 COBB GALLERIA PKWY UNIT 13198, ATLANTA, GA 30339-6376
(678) 457-6745

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN290394
GA

Other

Enumeration date
01/09/2025
Last updated
10/13/2025
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