MEDICARE: DR. ERIC HALSEY M.D.

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	207RI0200X	Infectious Disease Physician	01053215A	IN
2	207RI0200X	Infectious Disease Physician	94617	GA

General Provider Information

NPI Number	:	1588650410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC HALSEY M.D.

Provider Business Mailing Address
First Line	:	3165 ARGONNE DR NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-1949
Country	:	US
Telephone Number	:	404-513-2049
Fax Number	:	937-257-1122

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2212
Country	:	US
Telephone Number	:	404-686-3245
Fax Number	:

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

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	06/07/2025

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