Individual
ALEX SETH TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
205 BROWN INDUSTRIAL PKWY, CANTON, GA 30114-8007
(706) 260-5482
Mailing address
205 BROWN INDUSTRIAL PKWY, CANTON, GA 30114-8007
(706) 260-5482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009997
GA
Other
Enumeration date
07/15/2010
Last updated
05/03/2012
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