Individual
ROBBY TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 468-1000
Mailing address
145 GLEN KAREN DR, DILLARD, GA 30537-1711
(706) 244-9899
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN283195
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP283195
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
RN283195
GA
Other
Enumeration date
02/12/2024
Last updated
02/16/2026
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