Serenity Pain Relief
in Suwanee, GA. Organization (NPI-2).
NPI number1215356571
StatusActive
Last updated in NPPESApr 15, 2014
Details
- NPI
- 1215356571
- Entity type
- Organization (NPI-2)
- Legal business name
- Serenity Pain Relief
- Organization subpart
- No
- Enumeration date
- Apr 15, 2014
- Last updated
- Apr 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | 47601 | GA | Yes |
Practice location
2696 Lawrenceville Suwanee RdSuwanee, GA 30024-2535
Phone 678-376-1300 · Fax 678-514-2936
Mailing address
2696 Lawrenceville Suwanee RdSuwanee, GA 30024-2535
Phone 678-376-1300 · Fax 678-514-2936
Authorized official
Philip Norton Henderson
President/Owner
6783761300
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