MEDICARE: VENEAH SHANTE 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
1	363LW0102X	Women's Health Nurse Practitioner	RN274140	GA

General Provider Information

NPI Number	:	1144702226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VENEAH SHANTE HALL

Provider Business Mailing Address
First Line	:	440 MORELAND AVE SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-1926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 MORELAND AVE SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-1926
Country	:	US
Telephone Number	:	404-688-9300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2018
Last Update Date	:	09/05/2018

Similar Medicare Providers

1093672073 — SUMMER RAYE BORDERS
Practice Location Address:

440 MORELAND AVE SE
ATLANTA, GA
30316-1926

Practice Phone: 404-688-9300
Practice Fax:

1609829282 — PLANNED PARENTHOOD SOUTHEAST, INC
Practice Location Address:

440 MORELAND AVE SE
ATLANTA, GA
30316-1926

Practice Phone: 404-688-9305
Practice Fax: 404-688-0621

1669730511 — LAURIE LEIGH RAY WHNP
Practice Location Address:

440 MORELAND AVE SE
ATLANTA, GA
30316-1926

Practice Phone: 404-688-9300
Practice Fax:

1497284723 — STACY MASTRO APRN
Practice Location Address:

440 MORELAND AVE SE
ATLANTA, GA
30316-1926

Practice Phone: 404-688-9300
Practice Fax:

1104493808 — SAMUEL JOHN BAPTISTE
Practice Location Address:

220 26TH ST NW APT 6005
ATLANTA, GA
30309-1926

Practice Phone: 912-346-2182
Practice Fax:

1073471827 — AUDREY KEITH
Practice Location Address:

1030 FAYETTEVILLE RD SE
ATLANTA, GA
30316-2921

Practice Phone: 404-486-9034
Practice Fax:

Directions to “ VENEAH SHANTE HALL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.