SearchGeorgia101YP2500X

Brittany Ketchup Hall

NPI 1881112217 · on the registry since 2017

Practice

Address
1025 Veterans Memorial Hwy Se Ste 660
Mableton, GA 30126
Phone
(678) 696-1824
Organisation at this address
Zoet Beauty Supply Llc
Publix Super Markets Inc
Concentra Primary Care Pa
Inspiring Life Changes, Llc
Lynnica Healthcare Staffing, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
171W00000X
390200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-24

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