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Individual
DR. PETER JOSEPH TALISSE
Active
Individual
DR. PETER JOSEPH TALISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD001528
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001528
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056516706
DRIVER'S LICENSE
GA
Enumeration date
04/07/2021
Last updated
06/12/2025
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