Individual
SALLIE MERLE TALLENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
609 GREISON TRL STE C, NEWNAN, GA 30263-8642
(678) 416-0709
(678) 416-0709
Mailing address
609 GREISON TRL STE C, NEWNAN, GA 30263-8642
(678) 416-0709
(678) 416-0709
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
GA
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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