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NPI Code Detail

MEDICARE: MEGAN GAINES ESTABROOK PA

MEDICARE:   MEGAN GAINES ESTABROOK  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant9772GA

General Provider Information

NPI Number : 1184216442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN GAINES ESTABROOK PA
Provider Business Mailing Address
First Line : 4700 WATERS AVE STE 405
Second Line :
City : SAVANNAH
State : GA
Zip : 31404-6220
Country : US
Telephone Number : 912-350-2700
Fax Number : 912-350-2715
Provider Business Practice Location Address
First Line : 4700 WATERS AVE STE 405
Second Line :
City : SAVANNAH
State : GA
Zip : 31404-6220
Country : US
Telephone Number : 912-350-2700
Fax Number : 912-350-2715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2021
Last Update Date : 04/08/2026

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Directions to “ MEGAN GAINES ESTABROOK PA” Practice Location

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