Shannon S. Gulle in Savannah - Physician Assistant
Shannon S. Gulle - NPI 1265459010
Shannon S. Gulle is a Physician Assistant in Savannah, Georgia. Shannon S. Gulle practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannon S. Gulle is 1265459010. The last update date is 2013-07-23.
Shannon S. Gulle's current location address is 210 E Derenne Avenue, Savannah, Georgia. You can contact this provider via phone number 9126445300 and fax number 9126445260. The mailing address for Shannon S. Gulle is 210 E Derenne Avenue, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon S. Gulle |
|---|---|
| Address | 210 E Derenne Avenue, Savannah, Georgia |
| Phone Number | 9126445300 |
| Fax Number | 9126445260 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1265459010 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2013-07-23 |
Provider Mailing Address Detail
| Address | 210 E Derenne Avenue |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 31405 |
| Phone Number | 9126445300 |
| Fax Number | 9126445260 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4842 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 52207283-001 | GA | BCBS | |
| 889219382A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shannon S. Gulle by the Centers for Medicare & Medicaid Services?
The Shannon S. Gulle has been issued the NPI (National Provider Identifier) 1265459010 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Shannon S. Gulle located?
The Shannon S. Gulle is located at 210 E Derenne Avenue, Savannah, GA 31405.
What is the area of specialization for Shannon S. Gulle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shannon S. Gulle is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date was the 1265459010 assigned to Shannon S. Gulle?
The Shannon S. Gulle was issued its 1265459010 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Shannon S. Gulle, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shannon S. Gulle, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-07-23.