| Staywell Healthcare Llc | |
|
3812 Salem Rd Covington GA 30016-4528 | |
| (470) 971-0062 | |
| Not Available |
| Full Name | Staywell Healthcare Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3812 Salem Rd, Covington, Georgia |
| Authorized Official Name and Position | Marcia Phillips (PMHNP-BC) |
| Authorized Official Contact | 4707670094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Staywell Healthcare Llc 3812 Salem Rd Covington GA 30016-4528 Ph: () - | Staywell Healthcare Llc 3812 Salem Rd Covington GA 30016-4528 Ph: (470) 971-0062 |
| NPI Number | 1225838998 |
|---|---|
| Provider Enumeration Date | 03/13/2025 |
| Last Update Date | 03/13/2025 |
| Certification Date | 03/13/2025 |
| Medicare PECOS PAC ID | 9931625639 |
|---|---|
| Medicare Enrollment ID | O20250425000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225838998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Marcia Angella Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568907822 PECOS PAC ID: 0244624369 Enrollment ID: I20220304002025 |
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