person
Kelly Tally, DPM
Foot & Ankle Surgery Podiatrist in Suwanee, Georgia
NPI 1932673902

Kelly Tally is a Foot & Ankle Surgery Podiatrist based in Suwanee, GA and is specialized in Foot & Ankle Surgery. Kelly Tally practices in Suwanee, GA and has the professional credentials of DPM. The NPI Number for Kelly Tally is 1932673902 and holds a License No. POD001396 (Georgia).

The current practice location address for Kelly Tally is 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA and can be reached out via phone at 470-589-1204 and via fax at 470-589-1465.

Location: 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA, 30024-4541
person
Provider Profile Details
NPI Number
1932673902
Provider Name
Kelly Tally
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA, 30024-4541
Phone Number
470-589-1204
Fax Number
470-589-1465
Provider Enumeration Date
01/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 Peachtree Industrial Blvd Ste 4105
City
State
Zip
30024-4541
Phone Number
470-589-1204
Fax Number
470-589-1465
person
Provider Business Mailing Address Details
Address
1300 Peachtree Industrial Blvd Ste 4105
City
State
Zip
30024-4541
Phone Number
470-589-1204
Fax Number
470-589-1465
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD001396 (Georgia)
Definition
Definition to come...
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