| Mrs Heather J Hall, PA-C | |
|
470 Northside Cherokee Blvd Ste 490, Canton, GA 30115 | |
| (678) 538-2167 | |
| (678) 538-2165 |
| Full Name | Mrs Heather J Hall |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 470 Northside Cherokee Blvd Ste 490, Canton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760528434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 007729 (Georgia) | Primary |
| Entity Name | Northside Surgical Professional Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
| Entity Name | Northside Primary Care Professional Services,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heather J Hall, PA-C 6600 Peachtree Dunwoody Rd Ste 325, Atlanta, GA 30328-6773 Ph: (404) 876-1906 | Mrs Heather J Hall, PA-C 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115 Ph: (678) 538-2167 |
Uma T Daya, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 220 Oakside Ln, Canton, GA 30114 Phone: 678-807-1050 Fax: 770-720-7384 |
Alyssa Giardina, Physician Assistant Medicare: Medicare Enrolled Practice Location: 216 Moore Valley Way, Canton, GA 30115 Phone: 678-710-1312 |
Mr. Colin Flanagan, PS-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 150 Cedar Woods Trl, Canton, GA 30114 Phone: 631-807-5906 |
Brittany Marie Stento, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 230, Canton, GA 30115 Phone: 770-924-9656 |
Daniel Todd Cannon, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1521 Hickory Flat Hwy Ste 200, Canton, GA 30115 Phone: 470-297-1310 |
Mrs. Kirby Brown Reinecke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 Oakside Ct, Suite H, Canton, GA 30114 Phone: 678-880-8770 Fax: 770-213-4418 |
Richard F Hamaker, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 220 Oakside Ln, Canton, GA 30114 Phone: 678-807-1050 Fax: 678-807-1055 |