Talisse, Peter Joseph

Talisse, Peter Joseph is an individual health care provider with primary practice located at 1364 Clifton Rd Ne , Atlanta GA 30322-1059. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Talisse, Peter Joseph can be contacted via phone (404) 712-2000.

Contact Information

Primary practice address
1364 Clifton Rd Ne Atlanta GA 30322-1059
Phone: (404) 712-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD001528 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD001528 Georgia

Profile Details

NPI number 1871172601
LBN Legal business name Talisse, Peter Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2021
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871172601 NPPES
Georgia Other 056516706 DRIVER'S LICENSE

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