Nicholas Raymond Tallman, | |
490 S Main St, Rocky Mount, VA 24151-1769 | |
(540) 484-0350 | |
Not Available |
Full Name | Nicholas Raymond Tallman |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 490 S Main St, Rocky Mount, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043742208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2020-00777 (North Carolina) | Secondary |
208000000X | Pediatrics | 0102208387 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nicholas Raymond Tallman, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () - | Nicholas Raymond Tallman, 490 S Main St, Rocky Mount, VA 24151-1769 Ph: (540) 484-0350 |
Dr. Vydia Permashwar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 681 S Main St, Rocky Mount, VA 24151 Phone: 540-483-2849 | |
Dr. Rene Neri Vamenta, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 681 S Main St, Rocky Mount, VA 24151 Phone: 540-483-2849 Fax: 540-483-2826 |