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1790011823
FRED LOUIS STALLINGS
DECATUR, GA
NPI
1790011823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: GA 019780)
Enumeration Date
2009-10-23
Last Update Date
2009-10-23
Business Address
Dr. FRED LOUIS STALLINGS
4289 WYNDHAM PARK DR
DECATUR, GA 30034-5463
Phone number: 770-593-8451
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Mailing Address
Dr. FRED LOUIS STALLINGS
4289 WYNDHAM PARK DR
DECATUR, GA 30034-5463
Phone number: 770-593-8451
Copy
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