Individual
MR. ROY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
859 SHADOW LAKE DR, STE 100, LITHONIA, GA 30058-3226
(770) 498-8644
Mailing address
859 SADDLE LAKE DR, 859 SADDLE LAKE DR, LITHONIA, GA 30058-3226
(770) 498-8644
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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