| Tranquility Telepsychiatry Llc | |
|
201 W Anderson St Savannah GA 31401 | |
| (206) 761-6046 | |
| (206) 761-6047 |
| Full Name | Tranquility Telepsychiatry Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Medicare PECOS PAC ID | 5092199919 |
|---|---|
| Medicare Enrollment ID | O20221026000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033837802 | NPI | - | NPPES |
| Provider Name | Jabari Jela Dobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477168292 PECOS PAC ID: 8628489325 Enrollment ID: I20201202001008 |
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