MEDICARE: DR. WILLIAM DOUGLAS TALLEY JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD 28606	AL
2	208D00000X	General Practice Physician	28606	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD 28606	OTHER	AL	MEDICAL LICENSE

General Provider Information

NPI Number	:	1053523456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM DOUGLAS TALLEY JR. M.D.

Provider Business Mailing Address
First Line	:	1023 HIGHWAY 13
Second Line	:
City	:	HALEYVILLE
State	:	AL
Zip	:	35565-1638
Country	:	US
Telephone Number	:	334-452-5533
Fax Number	:

Provider Business Practice Location Address
First Line	:	1304 13TH AVE SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-4359
Country	:	US
Telephone Number	:	256-340-1251
Fax Number	:	256-353-6723

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2007
Last Update Date	:	02/26/2026

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Directions to “ DR. WILLIAM DOUGLAS TALLEY JR. M.D.” Practice Location

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