Individual
AUSTIN CURTIS TALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
82 COLLEGE CIRCLE, DAHLONEGA, GA 30533
(478) 973-8189
Mailing address
562 VIRGINIA AVE, JEFFERSON, GA 30549-7299
(478) 973-8180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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