Individual
DR. MELINDA MARIE TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-4500
(843) 792-3167
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(251) 382-5623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-4052
MS
207RP1001X
Pulmonary Disease Physician
Primary
90437
SC
207RP1001X
Pulmonary Disease Physician
LL90437
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
05/13/2026
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