| Soul Serene Wellness And Medspa Llc | |
|
5835 Campbellton Rd Sw Ste 103 South Fulton GA 30331-8014 | |
| (404) 549-2505 | |
| Not Available |
| Full Name | Soul Serene Wellness And Medspa Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 5835 Campbellton Rd Sw Ste 103, South Fulton, Georgia |
| Authorized Official Name and Position | Sherdina Hobson (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 2157678800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Serene Wellness And Medspa Llc 5728 Woodbury Dr Fairburn GA 30213 Ph: (215) 767-8800 | Soul Serene Wellness And Medspa Llc 5835 Campbellton Rd Sw Ste 103 South Fulton GA 30331-8014 Ph: (404) 549-2505 |
| NPI Number | 1851118772 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851118772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
Centerwell Senior Primary Care-old National Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6085 Old National Hwy Ste G, South Fulton, GA 30349 Phone: 470-754-6360 Fax: 877-780-7359 |