| DB Wellness LLC | |
|
3630 Moore St Apt 1 Blackshear GA 31516-1039 | |
| (732) 523-4057 | |
| Not Available |
| Full Name | DB Wellness LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3630 Moore St Apt 1, Blackshear, Georgia |
| Authorized Official Name and Position | Dallas Boyett (FNP) |
| Authorized Official Contact | 7325234057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| DB Wellness LLC 3630 Moore St Apt 1 Blackshear GA 31516-1039 | DB Wellness LLC 3630 Moore St Apt 1 Blackshear GA 31516-1039 Ph: (732) 523-4057 |
| NPI Number | 1053280446 |
|---|---|
| Provider Enumeration Date | 11/03/2025 |
| Last Update Date | 11/07/2025 |
| Certification Date | 11/07/2025 |
| Medicare PECOS PAC ID | 9638665383 |
|---|---|
| Medicare Enrollment ID | O20251231002994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053280446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Dallas Boyett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760966378 PECOS PAC ID: 0547756298 Enrollment ID: I20251231003258 |
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