Individual
OSCAR E TALLEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912
(706) 721-2542
(706) 721-6676
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2650
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
012975
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020226F
—
GA
05
—
138513
—
SC
Enumeration date
10/02/2006
Last updated
04/01/2011
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