Individual
JUDITH STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
103 DENSON FARM CV, CANTON, MS 39046-2200
(770) 856-4773
Mailing address
103 DENSON FARM CV, CANTON, MS 39046-2200
(770) 856-4773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903283
MS
363LF0000X
Family Nurse Practitioner
RN146014
GA
Other
Enumeration date
11/05/2013
Last updated
08/26/2022
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