Organization
BOLES GLOBAL TELEPSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHEEDAH BOLES PMHNP (OWNER)
(912) 921-8789
Entity
Organization
Contact information
Practice address
785 KING GEORGE BLVD, SUITE 101, SAVANNAH, GA 31419-9501
(912) 318-8764
Mailing address
785 KING GEORGE BLVD, SUITE 101, SAVANNAH, GA 31419-9501
(912) 318-8764
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN151817
GA
Other
Enumeration date
05/05/2014
Last updated
01/02/2016
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