Tally, Tommy Lee
Tally, Tommy Lee is an sole proprietor health care provider with primary practice located at 1300 Peachtree Industrial Blvd Ste 4105 , Suwanee GA 30024-4541. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Tally, Tommy Lee can be contacted via phone (470) 589-1204.Contact Information
Primary practice address
1300 Peachtree Industrial Blvd Ste 4105
Suwanee GA 30024-4541
Phone: (470) 589-1204
Fax: (470) 589-1465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD001388 | Georgia |
Profile Details
| NPI number | 1427523919 |
|---|---|
| LBN Legal business name | Tally, Tommy Lee |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2018 |
| Last updated | Sep 7th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427523919 | NPPES |
| Georgia | MEDICAID | 003219790A |
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