Individual
DR. JONATHAN E HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12192 AUGUSTA RD, LAVONIA, GA 30553-1209
(706) 356-1072
Mailing address
12192 AUGUSTA RD, LAVONIA, GA 30553-1209
(706) 356-1072
(706) 356-1457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26917
SC
207Q00000X
Family Medicine Physician
Primary
59655
GA
Other
Enumeration date
07/12/2006
Last updated
03/07/2023
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