Dennard-Hall, Keisha Nicole

Dennard-Hall, Keisha Nicole is an individual health care provider with primary practice located at 3890 Johns Creek Pkwy Suite 300, Suwanee GA 30024-1284. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Dennard-Hall, Keisha Nicole can be contacted via phone (678) 775-2300.

Contact Information

Primary practice address
3890 Johns Creek Pkwy Suite 300 Suwanee GA 30024-1284
Phone: (678) 775-2300
Fax: (678) 775-2359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 058877 Georgia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 058877 Georgia

Profile Details

NPI number 1497723985
LBN Legal business name Dennard-Hall, Keisha Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 8th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497723985 NPPES
Georgia MEDICAID 331793264B
Georgia MEDICAID 331793264F
Georgia MEDICAID 331793264G
Georgia MEDICAID 331793264H

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