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Individual

SAMUEL ROSS HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
2230 TOWNE LAKE PKWY, BLDG 1200, SUITES 100 & 110, WOODSTOCK, GA 30189-5540
(770) 926-2744
(770) 926-2794
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT009344
GA

Other

Enumeration date
07/03/2008
Last updated
11/18/2010
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