Individual
MR. JOSEPH PATRICK TALLENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
459 HWY 119 S, SPRINGFIELD, GA 31329-3021
(912) 754-0195
(912) 754-0197
Mailing address
105 BROOKSTONE WAY, RINCON, GA 31326-3403
(912) 754-0700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000447
GA
Other
Enumeration date
01/16/2007
Last updated
09/22/2010
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