Individual
ALLY LYNNE HARDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1512 BULL ST UNIT 5&6, SAVANNAH, GA 31401-7255
(912) 200-6490
Mailing address
1512 BULL ST UNIT 5&6, SAVANNAH, GA 31401-7255
(912) 200-6490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12345
GA
Other
Enumeration date
06/05/2024
Last updated
01/02/2026
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