Individual
JOHN TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 EAGLES LANDING PKWY STE 130, STOCKBRIDGE, GA 30281-9091
(470) 369-5770
(470) 369-5771
Mailing address
33900 HARPER AVE STE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001591
GA
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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