location
search-icon
person
Mr. Kenneth Craig Stallings, LO
Specialist in Blue Ridge, Georgia
NPI 1205900909

Kenneth Craig Stallings is a Specialist based in Ellijay, GA. Kenneth Craig Stallings practices in Blue Ridge, GA and has the professional credentials of LO. The NPI Number for Kenneth Craig Stallings is 1205900909 and holds a License No. 00013 (Georgia).

The current practice location address for Kenneth Craig Stallings is 5801 Blue Ridge Dr, Blue Ridge, GA and can be reached out via phone at 706-632-0384.

Location: 5801 Blue Ridge Dr, Blue Ridge, GA, 30540-6453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205900909
Provider Name
Kenneth Craig Stallings
Credential
LO
Provider Entity Type
Individual
Gender
Male
Address
5801 Blue Ridge Dr, Blue Ridge, GA, 30540-6453
Phone Number
706-632-0384
Fax Number
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
003128965A 05 GA
institution
Provider Business Practice Location Address Details
Address
5801 Blue Ridge Dr
City
Blue Ridge
State
Georgia
Zip
30513-3245
Phone Number
706-632-0384
Fax Number
person
Provider Business Mailing Address Details
Address
5801 Blue Ridge Dr
City
Blue Ridge
State
Georgia
Zip
30513-3245
Phone Number
706-632-0384
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
00013 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.