Tranquility Telepsychiatry Llc | |
201 W Anderson St Savannah GA 31401 | |
(206) 761-6046 | |
(206) 761-6047 |
Full Name | Tranquility Telepsychiatry Llc |
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Speciality | Clinic/Center |
Location | 201 W Anderson St, Savannah, Georgia |
Authorized Official Name and Position | Jabari Dobson (OWNER) |
Authorized Official Contact | 2067616046 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tranquility Telepsychiatry Llc Po Box 181 Savannah GA 31402-0181 Ph: (206) 761-6046 | Tranquility Telepsychiatry Llc 201 W Anderson St Savannah GA 31401 Ph: (206) 761-6046 |
NPI Number | 1033837802 |
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Provider Enumeration Date | 08/18/2022 |
Last Update Date | 08/30/2022 |
Certification Date | 08/30/2022 |
Medicare PECOS PAC ID | 5092199919 |
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Medicare Enrollment ID | O20221026000164 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033837802 | NPI | - | NPPES |
Provider Name | Jabari Jela Dobson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477168292 PECOS PAC ID: 8628489325 Enrollment ID: I20201202001008 |
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