Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wendy Stallworth

Individual provider Prosthetist · NPI 1710769609

Wendy Stallworth is a Prosthetist in Smyrna, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
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Practice location Address checks out

2365 Spring Rd SE Ste 215
Smyrna, GA 30080-2632
Phone: (513) 400-8349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence CO125001 (GA)

Record details

NPI number1710769609
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 16, 2023
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address409 Walton Way Se, Smyrna, GA 30082-3854