| Georgia Outreach, Llc | |
|
7130 Hodgson Memorial Dr Ste 101 Savannah GA 31406-1527 | |
| (912) 355-3881 | |
| Not Available |
| Full Name | Georgia Outreach, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7130 Hodgson Memorial Dr Ste 101, Savannah, Georgia |
| Authorized Official Name and Position | Ashley Richbourg (DIRECTOR) |
| Authorized Official Contact | 9194523324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Outreach, Llc 7130 Hodgson Memorial Dr Ste 101 Savannah GA 31406-1527 Ph: (912) 355-3881 | Georgia Outreach, Llc 7130 Hodgson Memorial Dr Ste 101 Savannah GA 31406-1527 Ph: (912) 355-3881 |
| NPI Number | 1902128929 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 05/02/2018 |
| Medicare PECOS PAC ID | 5193900777 |
|---|---|
| Medicare Enrollment ID | O20110425000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902128929 | NPI | - | NPPES |
| Provider Name | Michael A Burke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376649962 PECOS PAC ID: 7012933237 Enrollment ID: I20051020000396 |
| Provider Name | Judy S Saucerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447312962 PECOS PAC ID: 0840394680 Enrollment ID: I20070403000585 |
| Provider Name | Ashley Marie Richbourg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770638264 PECOS PAC ID: 8729263306 Enrollment ID: I20130109000437 |
| Provider Name | Timothy Curran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063910305 PECOS PAC ID: 9931458551 Enrollment ID: I20180815001378 |
| Provider Name | Samantha Jane Platta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396212726 PECOS PAC ID: 1850639568 Enrollment ID: I20190205000828 |
| Provider Name | Janelle Bacon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699244962 PECOS PAC ID: 0648506709 Enrollment ID: I20190726000744 |
| Provider Name | Julie Ann Jensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841366358 PECOS PAC ID: 3476700154 Enrollment ID: I20190813003293 |
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