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Fred Stallings
NPI 1790011823 · on the registry since 2009 · sole proprietor
Practice
- Address
- 4289 Wyndham Park Dr
Decatur, GA 30034 - Phone
- (770) 593-8451
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-10-23
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