Individual
MR. CORNELL DARIUS TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 N HARDING ROAD, COLUMBUS, OH 43209
(614) 584-4512
(614) 340-3096
Mailing address
195 N HARDING ROAD, COLUMBUS, OH 43209
(614) 584-4512
(614) 340-3096
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
03/27/2017
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