Individual provider · Type 1 NPI

Joe Taltson Southerland, DPM

Foot & Ankle Surgery Podiatrist · Jasper, GA

NPI number 1659321107 Active

Practice location

49 Gordon Rd, Suite 104
Jasper, GA 30143

Fax (770) 999-0814

Mailing address

400 W Arbrook Blvd, Suite 201
Arlington, TX 76014-3174

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000X1473 (TX)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPOD000709 (GA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1659321107

Joe Taltson Southerland, DPM's National Provider Identifier is 1659321107, issued on May 12, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Jasper, GA. The record was last updated on Feb 18, 2025.