Individual
LORI BERNARD GAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
613 STEPHENSON AVE STE 101, SAVANNAH, GA 31405-5985
(904) 472-0785
Mailing address
4425 PAULSEN ST, SAVANNAH, GA 31405-3662
(912) 355-6615
(912) 351-0645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002086
GA
Other
Enumeration date
08/27/2005
Last updated
03/07/2023
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