Search › Georgia › 1041C0700X
Lisa Talley
NPI 1740785831 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1405 Woodland Ave Se
Atlanta, GA 30316 - Phone
- (404) 468-3881
Additional practice sites
- 29330 Bermuda Ln, Southfield, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- MI, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia