Individual
MR. RENARD LABRACHE TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1755 THE EXCHANGE SE STE 330-L, ATLANTA, GA 30339-7400
(470) 552-4073
(470) 235-4748
Mailing address
1755 THE EXCHANGE SE STE 330-L, ATLANTA, GA 30339-7400
(470) 552-4073
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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