Individual
JOHANNA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8193
Mailing address
4372 INLET RD, MARIETTA, GA 30066-1863
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.32631
AL
208000000X
Pediatrics Physician
MD.32631
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150956
—
AL
05
—
152411
—
AL
01
—
511-39124
BCBS
AL
01
—
511-39128
BCBS
AL
Enumeration date
04/19/2010
Last updated
12/11/2015
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