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Individual

KELLY TALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1300 PEACHTREE INDUSTRIAL BLVD STE 4105, SUWANEE, GA 30024-4541
(470) 589-1204
(470) 589-1465
Mailing address
1300 PEACHTREE INDUSTRIAL BLVD STE 4105, SUWANEE, GA 30024-4541
(470) 589-1204
(470) 589-1465

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001396
GA

Other

Enumeration date
01/14/2019
Last updated
03/05/2023
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