Individual
MS. ANGELA MICHELLE TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3025B HWY 154, SUITE 108, NEWNAN, GA 30265-1166
(678) 590-8040
(347) 823-8404
Mailing address
108 CALICO LOOP, GRANTVILLE, GA 30220-1766
(678) 754-5762
(347) 823-8404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002072
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT002072
STATE LICENSE
GA
Enumeration date
07/13/2007
Last updated
02/27/2025
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