Provider Demographics
NPI:1477572923
Name:HALL, COLETTE M (MD)
Entity Type:Individual
Prefix:DR
First Name:COLETTE
Middle Name:M
Last Name:HALL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5885 GLENRIDGE DR NE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5512
Mailing Address - Country:US
Mailing Address - Phone:404-256-9345
Mailing Address - Fax:404-851-1709
Practice Address - Street 1:5885 GLENRIDGE DR NE
Practice Address - Street 2:SUITE 250
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5512
Practice Address - Country:US
Practice Address - Phone:404-256-9345
Practice Address - Fax:404-851-1709
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA057176207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine