Individual
DR. KEVIN LANCE STALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1700 NORTHSIDE DR NW STE A3, ATLANTA, GA 30318-2695
(404) 351-1800
Mailing address
1234 DEFOOR VILLAGE CT NW APT 307, ATLANTA, GA 30318-2990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009997
GA
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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