Individual
TYLER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
254 ENNISBROOK DR SE, SMYRNA, GA 30082-2433
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APRN-NP289321
GA
Other
Enumeration date
04/07/2022
Last updated
10/20/2025
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