Search › Georgia › 174400000X

Kenneth Stallings, L..O

NPI 1205900909 · on the registry since 2006 · sole proprietor

Practice

Address
5801 Blue Ridge Dr
Blue Ridge, GA 30513
Phone
(706) 632-0384

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-02-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia