Provider Demographics
NPI:1982889200
Name:HALL, DUSTIN WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:WILLIAM
Last Name:HALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:502 BRICKWORKS CIR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-5516
Mailing Address - Country:US
Mailing Address - Phone:812-453-9610
Mailing Address - Fax:
Practice Address - Street 1:523 CHURCH ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2515
Practice Address - Country:US
Practice Address - Phone:404-500-5424
Practice Address - Fax:404-912-5493
Is Sole Proprietor?:No
Enumeration Date:2008-01-05
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0026062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry