Provider Demographics
NPI:1215640628
Name:DUGANIER, SAVANNAH TAYLOR
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:TAYLOR
Last Name:DUGANIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3557 EMBASSY PKWY
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-8358
Mailing Address - Country:US
Mailing Address - Phone:330-670-1005
Mailing Address - Fax:
Practice Address - Street 1:3557 EMBASSY PKWY
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-8358
Practice Address - Country:US
Practice Address - Phone:330-670-4242
Practice Address - Fax:330-670-4241
Is Sole Proprietor?:No
Enumeration Date:2022-12-30
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50008840363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical