Individual
MARY STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
303 W TAYLOR ST APT B, SAVANNAH, GA 31401-4822
(843) 784-3101
(843) 784-5313
Mailing address
43 COASTAL HIGHWAY, HARDEEVILLE, SC 29927
(770) 375-1427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003188
GA
Other
Enumeration date
05/23/2007
Last updated
09/12/2007
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