Individual
GARY L HALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5604
(912) 435-6097
Mailing address
159 STEVEN ST, RICHMOND HILL, GA 31324-7205
(912) 756-4676
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0000006342
TN
Other
Enumeration date
11/02/2005
Last updated
07/08/2007
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