Individual
DR. PETER JOSEPH TALISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1975 HIGHWAY 54 W STE 200, PEACHTREE CITY, GA 30269-4794
(770) 415-8804
Mailing address
1067 BRIARCLIFF RD NE, ATLANTA, GA 30306-2619
(404) 642-3424
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD001528
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001528
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056516706
DRIVER'S LICENSE
GA
Enumeration date
04/07/2021
Last updated
06/12/2025
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