Charles David Hall, CRNA | |
960 Joe Frank Harris Pkwy Se, Anesthesia Dept, Cartersville, GA 30120-2129 | |
(770) 382-1530 | |
Not Available |
Full Name | Charles David Hall |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 960 Joe Frank Harris Pkwy Se, Cartersville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902938004 | NPI | - | NPPES |
GRP180 | Other | GA | MEDICARE GROUP NUMBER |
00963498A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN154037 (Georgia) | Primary |
Entity Name | Dpi Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407323199 PECOS PAC ID: 0941546923 Enrollment ID: O20190111001990 |
Mailing Address | Practice Location Address |
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Charles David Hall, CRNA 2 South Ave, Cartersville, GA 30120-3559 Ph: (770) 387-0544 | Charles David Hall, CRNA 960 Joe Frank Harris Pkwy Se, Anesthesia Dept, Cartersville, GA 30120-2129 Ph: (770) 382-1530 |
Paula Moore Mcmicken, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 180 Road 3 S, Cartersville, GA 30120 Phone: 770-382-4646 | |
Hongbo Dai, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 225-923-0030 | |
Eric Quincy Jones, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 470-490-1000 | |
Gail V Holliday, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 960 Joe Frank Harris Pkwy Se, Anesthesia Dept, Cartersville, GA 30120 Phone: 770-382-1530 | |
Whitney Michelle Snider, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 850-607-3995 | |
Priscilla Canales-cruz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31 Mercer Lane, Cartersville, GA 30120 Phone: 787-918-1331 | |
Anuradha Patel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Anesthesia Dept, Cartersville, GA 30120 Phone: 770-382-1530 |