Darrell Alex Hallman, CPO
Prosthetist in Macon, GA. Individual provider (NPI-1).
NPI number1982585196
StatusActive
Last updated in NPPESSep 12, 2025
Details
- NPI
- 1982585196
- Entity type
- Individual (NPI-1)
- Name
- Mr. Darrell Alex Hallman
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2025
- Certification date
- Sep 12, 2025
- Last updated
- Sep 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | 111 | GA | Yes |
| 222Z00000X | 111 | GA |
Practice location
155 N Crest BlvdMacon, GA 31210-1845
Phone 478-477-0977
Mailing address
121 Kingswood DrMacon, GA 31210-6100
Phone 478-477-0977
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