Kenneth Craig Stallings in Ellijay - Specialist
Kenneth Craig Stallings - NPI 1205900909
Kenneth Craig Stallings is a Specialist in Ellijay, Georgia. Kenneth Craig Stallings practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kenneth Craig Stallings is 1205900909. The last update date is 2013-02-15.
Kenneth Craig Stallings's current location address is 270 Gunite Cir, Ellijay, Georgia. You can contact this provider via phone number 7066692386. The mailing address for Kenneth Craig Stallings is 270 Gunite Cir, Ellijay, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Craig Stallings |
|---|---|
| Address | 270 Gunite Cir, Ellijay, Georgia |
| Phone Number | 7066692386 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L..O. |
NPI Number Detail
| NPI Number | 1205900909 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2013-02-15 |
Provider Mailing Address Detail
| Address | 270 Gunite Cir |
|---|---|
| City | Ellijay |
| State | Georgia (GA) |
| Post Code | 305406453 |
| Phone Number | 7066692386 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 13 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003128965A | GA | -- |
Post Comment/ Review Below
What is the Kenneth Craig Stallings's 1205900909?
The Kenneth Craig Stallings's NPI (National Provider Identifier) Number is 1205900909. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kenneth Craig Stallings's facilities are geographically located?
The facilities of Kenneth Craig Stallings are physically situated at the following location: 270 Gunite Cir, Ellijay, GA, 305406453.
What is the Kenneth Craig Stallings's area of specialization and corresponding taxonomy classification?
The Kenneth Craig Stallings's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1205900909 to Kenneth Craig Stallings?
The Kenneth Craig Stallings received its 1205900909 assignment from the Centers for Medicare & Medicaid Services on 2006-11-17.
When was the information regarding Kenneth Craig Stallings, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth Craig Stallings, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-02-15.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH