| Serenite Medical & Spa Inc | |
|
3771 Fettler Park Dr Dumfries VA 22025-1946 | |
| (703) 441-1905 | |
| Not Available |
| Full Name | Serenite Medical & Spa Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3771 Fettler Park Dr, Dumfries, Virginia |
| Authorized Official Name and Position | Francesse M Bataille (PRESIDENT) |
| Authorized Official Contact | 7034411905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenite Medical & Spa Inc Po Box 998 Dumfries VA 22026-0998 Ph: (703) 441-1905 | Serenite Medical & Spa Inc 3771 Fettler Park Dr Dumfries VA 22025-1946 Ph: (703) 441-1905 |
| NPI Number | 1538332895 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 11/21/2011 |
| Medicare PECOS PAC ID | 0345264255 |
|---|---|
| Medicare Enrollment ID | O20060118000879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538332895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101236422 (Virginia) | Primary |
| Provider Name | Francesse M Bataille |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255371613 PECOS PAC ID: 1052384393 Enrollment ID: I20040816000872 |
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