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Organization
SERENITY WELLNESS SPA LLC
Active
Organization
SERENITY WELLNESS SPA LLC
Active
Other names
Physical Therapy at Serenity
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA L JOHNSTON P.T. (PHYSICAL THERAPIST)
(478) 453-0041
Entity
Organization
Contact information
Practice address
106 SPORTSMAN CLUB RD NE, MILLEDGEVILLE, GA 31061-8785
(478) 453-0041
(478) 453-0641
Mailing address
107 SPORTSMAN CLUB RD NE, MILLEDGEVILLE, GA 31061-8787
(478) 453-0041
(478) 453-0641
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6790
GA
Other
Enumeration date
11/16/2006
Last updated
07/21/2011
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