IndividualActive
Kandis Stallings, OTC
NPI 1649875485 · Technician/Technologist · Braselton, GA
Provider details
- NPI number
- 1649875485
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Credential
- OTC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
- Orthopedic Assistant246ZX2200X
Technologists, Technicians & Other Technical Service Providers
Practice location
170 Ashwood Ln
Braselton, GA 30517-2130
Phone: (678) 665-9024
Approximate (ZIP-level) locationGet directions
Mailing address
170 Ashwood Ln
Braselton, GA 30517-2130
Registry dates
- Enumerated
- 2020-12-01
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.