| 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 |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 38 Years |
| Location | 960 Joe Frank Harris Pkwy Se, Cartersville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cartersville Medical Center | Cartersville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dpi Of Georgia Llc | 0941546923 | 24 |
| Entity Name | Dpi Of Georgia Llc |
|---|---|
| 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 |
|---|---|
| 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: May Accept Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 225-923-0030 | |
Eric Quincy Jones, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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: Medicare Enrolled Practice Location: 960 Joe Frank Harris Pkwy Se, Anesthesia Dept, Cartersville, GA 30120 Phone: 770-382-1530 |