Shannon S. Gulle, PA
Physician Assistant in Savannah, GA. Individual provider (NPI-1).
NPI number1265459010
StatusActive
Last updated in NPPESJul 23, 2013
Details
- NPI
- 1265459010
- Entity type
- Individual (NPI-1)
- Name
- Shannon S. Gulle
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2006
- Last updated
- Jul 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 004842 | GA | Yes |
| 363A00000X | Physician Assistant | PA 9104234 | FL |
Practice location
210 E Derenne AveSavannah, GA 31405-6736
Phone 912-644-5300 · Fax 912-644-5260
Mailing address
210 E Derenne AvenueSavannah, GA 31405
Phone 912-644-5300 · Fax 912-644-5260
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All 252 Physician Assistant providers in Savannah · All 7,528 providers in Savannah
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