Individual
DR. JORDAN H TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7780
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102205112
VA
207L00000X
Anesthesiology Physician
2024031393
MO
207L00000X
Anesthesiology Physician
87911
SC
Other
Enumeration date
04/15/2014
Last updated
08/29/2024
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