IndividualActive
Fred Stallings
NPI 1790011823 · General Practice Physician · Decatur, GA
Fred Stallings is a General Practice Physician provider in Decatur, GA (NPI 1790011823).
Provider details
- NPI number
- 1790011823
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019780 (GA)
Practice location
4289 Wyndham Park Dr
Decatur, GA 30034-5463
Phone: (770) 593-8451
Street-level locationGet directions
Mailing address
4289 Wyndham Park Dr
Decatur, GA 30034-5463
Registry dates
- Enumerated
- 2009-10-23
- Last updated
- 2009-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.