Heather Hall
Individual provider Active NPI Pharmacist · Nashville, GA
NPI 1265090682 · NPPES record last updated May 31, 2019
Key facts
- NPI
- 1265090682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH021717 (GA)
- Practice address
- 207 E McPherson Ave
Nashville, GA 31639-2249 - Phone
- (229) 686-2025
- Fax
- (229) 686-3957
- NPI assigned
- May 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH021717 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH021717 | GA | Yes |
Addresses
Primary practice location
207 E McPherson Ave
Nashville, GA 31639-2249
Mailing address
207 E McPherson Ave
Nashville, GA 31639-2249
Phone (229) 686-2028
Other providers in Nashville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.