Provider Demographics
NPI:1548411333
Name:MAJOR L TALLENT D.C. P.C.
Entity type:Organization
Organization Name:MAJOR L TALLENT D.C. P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAJOR
Authorized Official - Middle Name:L
Authorized Official - Last Name:TALLENT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-553-4449
Mailing Address - Street 1:PO BOX 2412
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-0041
Mailing Address - Country:US
Mailing Address - Phone:404-553-4449
Mailing Address - Fax:
Practice Address - Street 1:1781 VETERANS MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30168-7965
Practice Address - Country:US
Practice Address - Phone:404-553-4449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty