Individual
MRS. CHARLOTTE PONGONIS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
901 RICE ST NW, ATLANTA, GA 30318-4938
(404) 613-3093
Mailing address
901 RICE ST NW, ATLANTA, GA 30318-4938
(404) 613-3093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN151300
GA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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