| Dps Health And Wellness | |
|
19 Coach Lee Hill Blvd Statesboro GA 30458-4700 | |
| (912) 662-6501 | |
| (912) 681-1012 |
| Full Name | Dps Health And Wellness |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 19 Coach Lee Hill Blvd, Statesboro, Georgia |
| Authorized Official Name and Position | David Samuels (OWNER) |
| Authorized Official Contact | 9126626501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dps Health And Wellness 19 Coach Lee Hill Boulevard Statesboro GA 30458-2119 Ph: (912) 662-6501 | Dps Health And Wellness 19 Coach Lee Hill Blvd Statesboro GA 30458-4700 Ph: (912) 662-6501 |
| NPI Number | 1073981999 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073981999 | NPI | - | NPPES |
| 003169430A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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