Active NPIIndividual provider

Glenn M Hall Jr., MD

Surgery in Duluth, Georgia

NPI Number1104072230
Practice location
3855 Pleasant Hill RD Ste 470, Duluth, GA 30096-1417
Fax
—
Last updated
October 29, 2025

Glenn M Hall is a Surgery based in Duluth, GA. Glenn M Hall practices in Duluth, GA and has the professional credentials of MD. The NPI Number for Glenn M Hall is 1104072230 and holds a License No. 98864 (GA). The current practice location address for Glenn M Hall is 3855 Pleasant Hill RD Ste 470, Duluth, GA 30096-1417 and can be reached out via phone at 678-312-7280.

Provider Profile Details

NPI Number
1104072230
Provider Name
Glenn M Hall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3855 Pleasant Hill RD Ste 470, Duluth, GA 30096-1417
Phone Number
678-312-7280
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2008
Last Update Date
October 29, 2025
Certification Date
October 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3855 Pleasant Hill RD Ste 470
Duluth, GA 30096-1417
City
Duluth
State
Georgia
Zip
30096-1417
Phone Number
678-312-7280
Duluth, GA 30096Get directions →

Provider Business Mailing Address Details

Address
3855 Pleasant Hill RD Ste 470
Duluth, GA 30096-1417
City
Duluth
State
GA
Zip
30096-1417
Phone Number
678-312-7280

License Information

License Number (1)
98864
License State (1)
GA
Taxonomy (1)
Surgery · 208600000X · Primary
License Number (2)
20807
License State (2)
NH
Taxonomy (2)
Colon & Rectal Surgery · 208C00000X
License Number (3)
20807
License State (3)
NH
Taxonomy (3)
Surgery · 208600000X
License Number (4)
35.127088
License State (4)
OH
Taxonomy (4)
Surgery · 208600000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Glenn M Hall Jr., MD?

The NPI number of Glenn M Hall Jr., MD is 1104072230. It was assigned on August 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Glenn M Hall Jr., MD?

Glenn M Hall Jr., MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in GA under license number 98864.

Where does Glenn M Hall Jr., MD practice?

The practice location is 3855 Pleasant Hill RD Ste 470, Duluth, GA 30096-1417. The office can be reached at 678-312-7280 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104072230 directly on the NPPES registry website.

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