Provider Demographics
NPI:1871657031
Name:HALL, MICHAEL ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:HALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10410 ABERCORN ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1138
Mailing Address - Country:US
Mailing Address - Phone:912-927-6832
Mailing Address - Fax:912-927-2456
Practice Address - Street 1:10410 ABERCORN EXTENSION
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419
Practice Address - Country:US
Practice Address - Phone:912-927-6832
Practice Address - Fax:912-927-2456
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2014-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA23057207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine