Individual
DAVID FOX TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
105 W STONE DR, STE 2D, KINGSPORT, TN 37660-3256
(423) 578-1588
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2030
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2064
TN
Other
Enumeration date
01/28/2009
Last updated
09/23/2009
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