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Talley S Sofianos, PA-C
Medical Physician Assistant in Daphne, Alabama
NPI 1053652271

Talley S Sofianos is a Medical Physician Assistant based in Griffin, AL and is specialized in Medical. Talley S Sofianos practices in Daphne, AL and has the professional credentials of PA-C. The NPI Number for Talley S Sofianos is 1053652271 and holds a License No. 006755 (Alabama).

The current practice location address for Talley S Sofianos is 8832 Us Highway 90, Daphne, AL and can be reached out via phone at 251-289-1786.

Location: 8832 Us Highway 90, Daphne, AL, 30224-9582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053652271
Provider Name
Talley S Sofianos
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
8832 Us Highway 90, Daphne, AL, 30224-9582
Phone Number
251-289-1786
Fax Number
Provider Enumeration Date
03/13/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 GA
institution
Provider Business Practice Location Address Details
Address
8832 Us Highway 90
City
Daphne
State
Alabama
Zip
36526-8932
Phone Number
251-289-1786
Fax Number
person
Provider Business Mailing Address Details
Address
8832 Us Highway 90
City
Daphne
State
Alabama
Zip
36526-8932
Phone Number
251-289-1786
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
006755 (Georgia)
Definition
Definition to come...
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