Individual
MARY VIRGINIA STALLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.M.P
Contact information
Practice address
2574 BEAL ST, SNELLVILLE, GA 30078-3367
(732) 801-3099
(770) 257-7466
Mailing address
2574 BEAL ST, SNELLVILLE, GA 30078-3367
(732) 801-3099
(770) 257-7466
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
MT010475
GA
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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