Individual
MR. DEREK HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 PRINCE ST, AMERICUS, GA 31709-3643
(229) 931-6312
(229) 931-9359
Mailing address
107 PRINCE ST, AMERICUS, GA 31709-3643
(229) 931-6312
(229) 931-9359
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
019195
GA
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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