Healthcare Provider Details

I. General information

NPI: 1316529100
Provider Name (Legal Business Name): MARGARET SPENCER SABOURIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEG SABOURIN DO

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 LEONARD FULGHUM DR STE 103
MOUNT PLEASANT SC
29464-5473
US

IV. Provider business mailing address

851 LEONARD FULGHUM DR STE 201
MOUNT PLEASANT SC
29464-3793
US

V. Phone/Fax

Practice location:
  • Phone: 843-884-5133
  • Fax:
Mailing address:
  • Phone: 843-884-5133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number95416
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: