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Individual

BARRETT ALLEN STALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
695 HENDERSON DR, CARTERSVILLE, GA 30120-3738
(770) 386-6300
Mailing address
805 STONE MILL DR SE, CARTERSVILLE, GA 30121-8142
(770) 539-2623

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010988
GA

Other

Enumeration date
06/12/2013
Last updated
06/12/2013
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