Individual
TALLY H EDDINGS III
Active
Individual
TALLY H EDDINGS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
9800244
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
9800244
NC
207XX0801X
Orthopaedic Trauma Physician
9800244
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11524
BCBS
NC
05
—
8911524
—
NC
Enumeration date
05/31/2006
Last updated
02/17/2022
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