Provider Demographics
NPI:1588655575
Name:NALLEY, JAMES F (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:NALLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:805 SANDY PLAINS ROAD
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-6340
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:205 HAWKINS STORE RD NW STE B1
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-6215
Practice Address - Country:US
Practice Address - Phone:770-928-0862
Practice Address - Fax:770-928-2286
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2019-10-17
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Provider Licenses
StateLicense IDTaxonomies
GA028196208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics