Individual
MARY VACALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4425 PAULSEN ST, SAVANNAH, GA 31405-3637
(912) 355-6615
(912) 351-0645
Mailing address
4425 PAULSEN ST, SAVANNAH, GA 31405-3637
(912) 525-1281
(912) 351-0645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001943
GA
363A00000X
Physician Assistant
1943
GA
Other
Enumeration date
05/11/2006
Last updated
05/30/2019
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