| Shrink Savannah | |
|
1601 Abercorn St Savannah GA 31401-7521 | |
| (912) 712-2550 | |
| (912) 480-0518 |
| Full Name | Shrink Savannah |
|---|---|
| Speciality | Clinic/Center |
| Location | 1601 Abercorn St, Savannah, Georgia |
| Authorized Official Name and Position | Chad Brock (OWNER) |
| Authorized Official Contact | 9127122550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shrink Savannah 1601 Abercorn St Savannah GA 31401-7521 Ph: (912) 712-2550 | Shrink Savannah 1601 Abercorn St Savannah GA 31401-7521 Ph: (912) 712-2550 |
| NPI Number | 1659731826 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 07/30/2019 |
| Medicare PECOS PAC ID | 6103114988 |
|---|---|
| Medicare Enrollment ID | O20161011001193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659731826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Chad J Brock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588691794 PECOS PAC ID: 2860478831 Enrollment ID: I20040629000850 |
| Provider Name | Daniel B Nagelberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396805131 PECOS PAC ID: 9335219427 Enrollment ID: I20120606000493 |
| Provider Name | Jean Goldthwait |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679904437 PECOS PAC ID: 9537423900 Enrollment ID: I20180511000080 |
| Provider Name | Heather M Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013382969 PECOS PAC ID: 7911328299 Enrollment ID: I20200523000043 |
| Provider Name | Paige Lindsay Marnell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619316163 PECOS PAC ID: 3971806621 Enrollment ID: I20210413000273 |
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