CARZADEAN BERNADETTE HALL (NPI# 1003078296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003078296 |
| Entity Type | Individual |
| Full Name | CARZADEAN BERNADETTE HALL |
| Credential | M.D. |
| Practice Address |
185 Franklin Farms Cir Fayetteville GA 30214-3361 |
| Practice Telephone | 4042160132 |
| Mailing Telephone | 4042160132 |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2008-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
034309 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
185 FRANKLIN FARMS CIR |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164472338 | Ar Medical LLC | Internal Medicine | 15 Mcdonald St, Ludowici, GA 31316-4500 | 2006-05-11 |
| 1891767448 | Maurice Clifton | Internal Medicine | 1550 College St, Macon, GA 31207-1500 | 2006-02-07 |
| 1811986003 | Traiana Daciana Pacurar | Internal Medicine | 586 Islands Highway, Midway, GA 31320 | 2005-10-19 |
| 1588169759 | Treken Primary Care Inc | Internal Medicine | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2018-03-28 |
| 1063751402 | Focus Care Medical Center | Internal Medicine | 2171 Northlake Pkwy, Tucker, GA 30084-4104 | 2013-02-05 |
| 1831406024 | Vinilkumar Badri | Internal Medicine | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2010-09-09 |
| 1003076001 | Shonali Saha | Internal Medicine | 3200 Highlands Pkwy Se, Ste 400, Smyrna, GA 30082-5166 | 2008-06-12 |
| 1982714333 | Saima Khan | Internal Medicine | 1970 Riverside Pkwy, Lawrenceville, GA 30043-5937 | 2006-08-30 |
| 1023067147 | Ognjenka Goga Brkic-vukotic | Internal Medicine | 11050 Crabapple Rd, Suite 104 B, Roswell, GA 30075-2489 | 2006-05-08 |
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on CARZADEAN BERNADETTE HALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.