Individual
DR. FRED LOUIS STALLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4289 WYNDHAM PARK DR, DECATUR, GA 30034-5463
(770) 593-8451
Mailing address
4289 WYNDHAM PARK DR, DECATUR, GA 30034-5463
(770) 593-8451
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
019780
GA
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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