Hall, Andrew

Hall, Andrew is an individual health care provider with primary practice located at 3708 Northside Dr , Macon GA 31210-2404. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Hall, Andrew can be contacted via phone (478) 745-4206.

Contact Information

Primary practice address
3708 Northside Dr Macon GA 31210-2404
Fax:
Website:

Profile Details

NPI number 1922576321
LBN Legal business name Hall, Andrew
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2018
Last updated Nov 5th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922576321 NPPES
Georgia MEDICAID 300022345A

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