Individual
CAROL A. TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-6900
(802) 847-8899
Mailing address
501 TEN STONES CIR, CHARLOTTE, VT 05445-9671
(802) 425-5295
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
VT 042-0007787
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009245
—
VT
Enumeration date
07/10/2006
Last updated
07/08/2007
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