Individual
ASHTON STALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PROBASCO ST, LA FAYETTE, GA 30728-2301
(706) 719-0888
Mailing address
2121 BRONCO RD, LA FAYETTE, GA 30728-4320
(423) 987-4965
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
33558
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/15/2023
Last updated
08/28/2025
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