Individual
DONALD B TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2260 WRIGHTSBORO RD, AUGUSTA, GA 30904-4764
(706) 481-7000
Mailing address
PO BOX 3330, AUGUSTA, GA 30914-3330
(803) 278-2473
(803) 278-2473
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
031336
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G31336
—
SC
Enumeration date
11/04/2006
Last updated
07/08/2007
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