Individual
NICHOLAS RAYMOND TALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
490 S MAIN ST, ROCKY MOUNT, VA 24151-1769
(540) 484-0350
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102208387
VA
208000000X
Pediatrics Physician
2020-00777
NC
Other
Enumeration date
03/28/2017
Last updated
06/07/2024
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