Doctor Name: | MR. EDGAR LELAND TALBERT |
NPI Number: | 1700975364 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 8315 |
Business Practice Address: | 1028 South Main Street Anderson, SC - 29624 |
Business Phone Number: | 8642249624 |
Business Fax Number: | 8642242546 |
Mailing Address: | Po Box 2086, ANDERSON |
State: | SC |
Postal Code: | 296222086 |
Phone Number: | 8642249624 |
Fax Number: | 8642242546 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8315 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |