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NPI Code Detail

MEDICARE: ZAIDA HALL

MEDICARE:   ZAIDA  HALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PS0010XSports Medicine (Emergency Medicine) PhysicianAT003769GA

General Provider Information

NPI Number : 1902437288
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZAIDA HALL
Provider Business Mailing Address
First Line : 451 N COLUMBIA ST APT 1105
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-1803
Country : US
Telephone Number : 704-965-1519
Fax Number :
Provider Business Practice Location Address
First Line : 231 W HANCOCK ST
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-3371
Country : US
Telephone Number : 704-965-1519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2020
Last Update Date : 01/27/2020

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Directions to “ ZAIDA HALL ” Practice Location

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