Dennis Hall, O D | |
1440 Cumberland Mall Se, Atlanta, GA 30339-3139 | |
(770) 434-9788 | |
Not Available |
Full Name | Dennis Hall |
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Gender | Male |
Speciality | Optometrist |
Location | 1440 Cumberland Mall Se, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659512267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 02215 (Georgia) | Primary |
Provider Name | Mark Lynn Od And Associates Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417055203 PECOS PAC ID: 4688679269 Enrollment ID: O20061004000066 |
Mailing Address | Practice Location Address |
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Dennis Hall, O D 4005 Holcomb Bridge Rd, Norcross, GA 30092-1838 Ph: (770) 434-9788 | Dennis Hall, O D 1440 Cumberland Mall Se, Atlanta, GA 30339-3139 Ph: (770) 434-9788 |
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