Individual provider · Type 1 NPI

Kelly Tally, DPM

Foot & Ankle Surgery Podiatrist · Suwanee, GA

NPI number 1932673902 Active

Practice location

1300 Peachtree Industrial Blvd Ste 4105
Suwanee, GA 30024-4541

Call (470) 589-1204 Map

Fax (470) 589-1465

Other practice locations

  • 590 S Enota Dr NE Ste 1, Gainesville, GA 30501-2433 · (470) 252-5756
  • 2701 N Decatur Rd, Decatur, GA 30033-5918 · (404) 501-7188

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPOD001396 (GA)

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

2 other providers at this address

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About NPI 1932673902

Kelly Tally, DPM's National Provider Identifier is 1932673902, issued on Jan 14, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Suwanee, GA. The record was last updated on Mar 5, 2023.