Individual
DR. MICHAEL E HALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, M.S.
Contact information
Practice address
121 MARBLE MILL RD NW STE 203, MARIETTA, GA 30060-7959
(404) 542-9487
Mailing address
121 MARBLE MILL RD NW STE 203, MARIETTA, GA 30060-7959
(404) 542-9487
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN015692
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
03/27/2018
Last updated
07/27/2022
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