NPI 1427523919

Tommy Lee Tally, DPM

Practitioner Foot & Ankle Surgery Podiatrist Suwanee, GA

Practice location

Address: 1300 Peachtree Industrial Blvd STE 4105, Suwanee, GA 30024-4541
Phone: (470) 589-1204
Fax: (470) 589-1465

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence POD001388 (GA)

Other Podiatrist providers in Georgia →

Registry record

NPI: 1427523919
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2018
Record last updated: 7 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.