Talley, Roy Lamar

Talley, Roy Lamar is an individual health care provider with primary practice located at 1301 Sigman Rd Ne Suite 100, Conyers GA 30012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Talley, Roy Lamar can be contacted via phone (770) 760-9360.

Contact Information

Primary practice address
1301 Sigman Rd Ne Suite 100 Conyers GA 30012
Phone: (770) 760-9360
Fax: (770) 760-9303
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 29957 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 29957 Georgia

Profile Details

NPI number 1396732657
LBN Legal business name Talley, Roy Lamar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Oct 19th, 2018 - about 6 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 1396732657 NPPES
Georgia MEDICAID 000357486F

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