Gaudry, Pamela Gallup

Gaudry, Pamela Gallup is an individual health care provider with primary practice located at 4750 Waters Ave Suite 400, Savannah GA 31404-6200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gaudry, Pamela Gallup can be contacted via phone (912) 350-5937.

Contact Information

Primary practice address
4750 Waters Ave Suite 400 Savannah GA 31404-6200
Phone: (912) 350-5937
Fax: (912) 350-3483
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 033966 Georgia

Profile Details

NPI number 1740236470
LBN Legal business name Gaudry, Pamela Gallup
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jan 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740236470 NPPES
Georgia MEDICAID 000539646E
Georgia Other 624523
Georgia Other 10065376
Georgia Other 160051160
Georgia MEDICAID 000539646C
Georgia Other 349768
Georgia MEDICAID 000539646F
Georgia MEDICAID G33966

Popular Providers