Hall, Christopher Mark
Hall, Christopher Mark is an individual health care provider with primary practice located at 3686 Wheeler Rd , Augusta GA 30909-6520. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Hall, Christopher Mark can be contacted via phone (706) 922-6300.Contact Information
Primary practice address
3686 Wheeler Rd
Augusta GA 30909-6520
Phone: (706) 922-6300
Fax: (706) 922-6303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1550 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1550 | Georgia |
Profile Details
| NPI number | 1104023498 |
|---|---|
| LBN Legal business name | Hall, Christopher Mark |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Feb 21st, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104023498 | NPPES |
| Georgia | MEDICAID | 101891268E | |
| Georgia | MEDICAID | 101891268F | |
| Georgia | MEDICAID | 101891268B | |
| Georgia | MEDICAID | 101891268C | |
| Georgia | MEDICAID | 101891268G | |
| Georgia | MEDICAID | 0540PA | |
| Georgia | MEDICAID | 101891268D |
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