Individual
TODD M TALMADGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 NASHVILLE ST, RUSSELLVILLE, KY 42276-8853
(270) 725-4561
Mailing address
PO BOX 3339, CLARKSVILLE, TN 37043-3339
(931) 647-5034
(931) 552-6663
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD36221
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000566897
ANTHEM BCBS
KY
05
—
3872826
—
TN
01
—
4042340
BCBS PROVIDER
—
05
—
7100040150
—
KY
01
—
P00631352
RAILROAD MEDICARE
—
Enumeration date
01/10/2006
Last updated
11/17/2008
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