Individual
DANIEL THOMAS TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 ROBESON ST STE 203, FAYETTEVILLE, NC 28305-5641
(910) 615-3220
Mailing address
323 DEVANE ST, FAYETTEVILLE, NC 28305-5202
(229) 869-7635
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2025-03399
NC
Other
Enumeration date
05/01/2020
Last updated
09/24/2025
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