Individual
DR. MATTHEW LERANDAL TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1305 CEDARCREST ROAD SUITE#111, DALLAS, GA 30132
(770) 966-5014
Mailing address
1305 CEDARCREST ROAD SUITE#111, DALLAS, GA 30132
(770) 966-5014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2343
AL
111N00000X
Chiropractor
Primary
CHIR009342
GA
Other
Enumeration date
09/14/2011
Last updated
08/20/2014
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