Individual
LYDIA STEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 ABERCORN ST, SAVANNAH, GA 31401-7521
(912) 712-2550
(912) 480-0518
Mailing address
1601 ABERCORN ST, SAVANNAH, GA 31401-7521
(912) 712-2550
(912) 480-0518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008416
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659731826
GROUP- TYPE II
GA
Enumeration date
07/17/2017
Last updated
07/30/2019
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