Dr. William C Tally
Orthopaedic Surgeon Orthopaedic Spine Surgeon
1765 Old West Broad St
Athens
, Georgia 30606-2853
Dr. William C Tally
Orthopaedic Surgeon Orthopaedic Spine Surgeon
1765 Old West Broad St
Athens
, Georgia 30606-2853
(706) 546-8792
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About
Features
Specialties
- Orthopaedic Surgeon
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. William C Tally
- 1765 Old West Broad St Bldg 2-200
- Athens, GA
- Zip : 30606-2887
- Fax : (706) 546-8792
- Phone : (706) 549-1663
Second Address
- Dr. William C Tally
- 1765 Old West Broad St
- Athens, GA
- Zip : 30606-2853
- Fax : (706) 546-8792
- Phone : (706) 549-1663
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 59776 | GA |
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 59776 | GA |
National Provider Identifier
| NPI | 1144386467 |
|---|---|
| Provider Name | Dr. William C Tally |
| First Address | Athens, GA 30606-2887 |
| Second Address | Athens, GA 30606-2853 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2006 |
| Last Update Date | 22/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11767409 | CAQH NUMBER (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.