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Contact Information

CLARK HALL
777 HEMLOCK STREET
MACON, GA31201
 Phone: 478-633-1634
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CLARK HALL · (Male)

NPI Number 1225733462
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2023
Last updated 08/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 15040
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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