Stallings, Fred Louis
Stallings, Fred Louis is an sole proprietor health care provider with primary practice located at 4289 Wyndham Park Dr , Decatur GA 30034-5463. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Stallings, Fred Louis can be contacted via phone (770) 593-8451.Contact Information
Primary practice address
4289 Wyndham Park Dr
Decatur GA 30034-5463
Phone: (770) 593-8451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 019780 | Georgia |
Profile Details
| NPI number | 1790011823 |
|---|---|
| LBN Legal business name | Stallings, Fred Louis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2009 |
| Last updated | Oct 23rd, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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