Individual
DR. LARRY A TALLENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1655 E GREENVILLE ST, ANDERSON, SC 29621-2062
(864) 224-6375
(864) 716-7738
Mailing address
PO BOX 1226, ANDERSON, SC 29622-1226
(864) 224-6375
(864) 716-7738
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
527
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D05279
—
SC
Enumeration date
07/22/2006
Last updated
07/08/2007
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