| Tranquility Grove, Llc | |
|
12433 Us Highway 29 Chatham VA 24531-3464 | |
| (828) 244-2622 | |
| Not Available |
| Full Name | Tranquility Grove, Llc |
|---|---|
| Speciality | Exclusive Provider Organization |
| Location | 12433 Us Highway 29, Chatham, Virginia |
| Authorized Official Name and Position | La'courtney Setzer (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8282442622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquility Grove, Llc 12433 Us Highway 29 Chatham VA 24531-3464 Ph: () - | Tranquility Grove, Llc 12433 Us Highway 29 Chatham VA 24531-3464 Ph: (828) 244-2622 |
| NPI Number | 1932910189 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932910189 | NPI | - | NPPES |
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