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Search › Georgia › 3336C0003X

Derek Hall

NPI 1831832864 · on the registry since 2022 · sole proprietor

Practice

Address
107 Prince St
Americus, GA 31709
Phone
(229) 931-6312
Fax
(229) 931-9359
Organisation at this address
Food Lion, Llc
J.H. Harvey Co., Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
3336C0003X
3336C0003X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia