Individual
KENNETH M STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 GLENLAKE PARKWAY, KAISER PERMANONTE GLENLAKE MEDICAL CENTER, ATLANTA, GA 30328
(770) 603-3822
(770) 603-3992
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 504-5678
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
038975
GA
Other
Enumeration date
01/30/2007
Last updated
11/30/2016
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