MEDICARE: TALLMAN MEDICAL, LLC

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

General Provider Information

NPI Number	:	1003747684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALLMAN MEDICAL, LLC

Provider Business Mailing Address
First Line	:	1080 WESTFIELD DR
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-3837
Country	:	US
Telephone Number	:	443-699-5925
Fax Number	:

Provider Business Practice Location Address
First Line	:	1080 WESTFIELD DR
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-3837
Country	:	US
Telephone Number	:	443-699-5925
Fax Number	:

Authorized Official
Title or Position	:	FNP-C/OWNER
Name	:	TAYLOR TALLMAN
Credential	:	TALLMAN
Telephone Number	:	443-835-0689

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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