Individual
PAMELA GALLUP GAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4750 WATERS AVE, SUITE 400, SAVANNAH, GA 31404-6200
(912) 350-5937
(912) 350-3483
Mailing address
4750 WATERS AVE, SUITE 400, SAVANNAH, GA 31404-6200
(912) 350-5937
(912) 350-3483
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
033966
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000539646C
—
GA
05
—
000539646E
—
GA
05
—
000539646F
—
GA
01
—
10065376
AMERIGROUP
GA
01
—
160051160
RR MEDICARE
GA
01
—
349768
WELLCARE
GA
01
—
624523
WELLCARE
GA
05
—
G33966
—
SC
Enumeration date
05/25/2006
Last updated
01/14/2013
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