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1417686858
SAMUEL STAFFORD LYON
AUGUSTA, GA
NPI
1417686858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 13775)
Enumeration Date
2022-06-09
Last Update Date
2022-07-27
Business Address
SAMUEL STAFFORD LYON MD
1120 15TH ST # AF-1020
AUGUSTA, GA 30912-0004
Phone number: 706-721-4467
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Mailing Address
SAMUEL STAFFORD LYON MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-4467
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