MEDICARE: HALLE SOVICH BREISSINGER NP

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	207RT0003X	Transplant Hepatology Physician	RN277706	GA
2	363L00000X	Nurse Practitioner	RN277706	GA

General Provider Information

NPI Number	:	1952055949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLE SOVICH BREISSINGER NP

Provider Business Mailing Address
First Line	:	2201 CHERRING LN
Second Line	:
City	:	DUNWOODY
State	:	GA
Zip	:	30338-5228
Country	:	US
Telephone Number	:	440-537-1632
Fax Number	:

Provider Business Practice Location Address
First Line	:	1968 PEACHTREE RD NW BLDG 775TH
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1281
Country	:	US
Telephone Number	:	404-605-4600
Fax Number	:

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

Provider Enumeration Date	:	02/08/2022
Last Update Date	:	08/12/2025

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