Individual
ASHLEY TALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2100 BULL STREET, COLUMBIA, SC 29201
(803) 898-0273
Mailing address
2100 BULL STREET, COLUMBIA, SC 29201
(803) 898-0273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22952
SC
Other
Enumeration date
03/28/2014
Last updated
10/23/2019
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