Healthcare Provider Details

I. General information

NPI: 1437531621
Provider Name (Legal Business Name): MICHELLE GAINTY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE ZOOK D.O.

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 06/05/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5354 REYNOLDS ST STE 518
SAVANNAH GA
31405-6012
US

IV. Provider business mailing address

5354 REYNOLDS ST STE 518
SAVANNAH GA
31405-6012
US

V. Phone/Fax

Practice location:
  • Phone: 912-819-9650
  • Fax:
Mailing address:
  • Phone: 912-819-9650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number1599
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number95621
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: