Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | TP980 | KY |
N | 2086S0127X | Trauma Surgeon | 44731 | KY |
Y | 2086S0127X | Trauma Surgeon | 81769 | SC |
NPI | 1093970469 |
---|---|
Provider Name | Dr. Cynthia Leigh Talley |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-0293 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2008 |
Last Update Date | 17/12/2018 |