Individual
DR. NICHOLAS TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
58 BIG A RD, TOCCOA, GA 30577-6017
(706) 886-6819
Mailing address
PO BOX 1060, OAKWOOD, GA 30566-0018
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
105213
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2022
Last updated
07/22/2025
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