Hall, Tami Lillian

Hall, Tami Lillian is an individual health care provider with primary practice located at 50 Kelly Rd , Mcdonough GA 30253-6097. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hall, Tami Lillian can be contacted via phone (770) 957-1887.

Contact Information

Primary practice address
50 Kelly Rd Mcdonough GA 30253-6097
Phone: (770) 957-1887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN577772 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 336505 New York
Nursing Service Providers / Registered Nurse 163W00000X RN595239 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN199099 Georgia

Profile Details

NPI number 1407147754
LBN Legal business name Hall, Tami Lillian
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2011
Last updated Apr 4th, 2022 - about 4 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 1407147754 NPPES
New York MEDICAID 00695941

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