Katie Tally, PA-C

NPI #1598472706 in Galax, Virginia

Provider Information

NPI Number: 1598472706
Entity Type: Individual
Name: Katie Tally, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: PA-C
Enumeration Date: Oct 28, 2022
Last Updated: Dec 14, 2022

Practice Location

Address: 544 E STUART DR STE D
City: Galax
State: Virginia
ZIP Code: 24333-2231
Phone: (276) 236-5181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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