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Organization
MUSCOGEE MENTAL HEALTH AND WELLNESS SERVICES LLC
Active
Organization
MUSCOGEE MENTAL HEALTH AND WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA SANDERS PMHNP-BC (ADMINISTRSATOR)
(334) 560-4132
Entity
Organization
Contact information
Practice address
9111 WHITE BLUFF RD, SAVANNAH, GA 31406-4606
(334) 560-4132
Mailing address
9111 WHITE BLUFF RD, SAVANNAH, GA 31406-4606
(921) 483-4490
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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