Provider Demographics
NPI:1467745422
Name:HALL, BARBARA RODENBERRY (NP-C)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:RODENBERRY
Last Name:HALL
Suffix:
Gender:
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:RODENBERRY
Other - Last Name:HASKEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:230 W COLLEGE ST STE C
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4249
Mailing Address - Country:US
Mailing Address - Phone:678-871-3735
Mailing Address - Fax:833-973-4745
Practice Address - Street 1:230 W COLLEGE ST STE C
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4249
Practice Address - Country:US
Practice Address - Phone:678-871-3735
Practice Address - Fax:833-973-4745
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN142510163WR0006X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant