Organization
JOHN E HALL, JR., D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA W WATKINS (FINANCIAL COORDINATOR)
(404) 753-9742
Entity
Organization
Contact information
Practice address
1099 M L K JR DR NW, ATLANTA, GA 30314-2943
(404) 753-9742
(404) 753-9743
Mailing address
1099 M L K JR DR NW, ATLANTA, GA 30314-2943
(404) 753-9742
(404) 753-9743
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9735
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00271411A
—
GA
01
—
1164442794
INDIVIDUAL NPI
GA
Enumeration date
04/14/2008
Last updated
04/14/2008
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