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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1427523919 NPPES
Georgia MEDICAID 003219790A

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