Tally, William C

Tally, William C is an individual health care provider with primary practice located at 1765 Old West Broad St , Athens GA 30606-2853. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Tally, William C can be contacted via phone (706) 549-1663.

Contact Information

Primary practice address
1765 Old West Broad St Athens GA 30606-2853
Phone: (706) 549-1663
Fax: (706) 546-8792
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 59776 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 59776 Georgia

Profile Details

NPI number 1144386467
LBN Legal business name Tally, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Mar 11th, 2024 - about last year

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 1144386467 NPPES
Other 11767409 CAQH NUMBER

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