Individual
CARL LELAND STALVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 DURDEN ST, VIDALIA, GA 30474-4600
(888) 545-5551
Mailing address
407 DURDEN ST, VIDALIA, GA 30474-4600
(888) 545-5551
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
67441
GA
Other
Enumeration date
06/30/2008
Last updated
11/27/2017
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