Organization
ERIC L. HALL, MD; PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC LEE HALL M.D. (PRESIDENT)
(912) 369-5437
Entity
Organization
Contact information
Practice address
512 S MAIN ST, SUITE B, HINESVILLE, GA 31313-4325
(912) 369-5437
(912) 369-5740
Mailing address
512 S MAIN ST, SUITE B, HINESVILLE, GA 31313-4325
(912) 369-5437
(912) 369-5740
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
045814
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585349667A
—
GA
Enumeration date
05/21/2008
Last updated
12/08/2021
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