Organization
SERENITY PODIATRY AND MED SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAREPTA ISAAC DPM (CEO)
(678) 373-3050
Entity
Organization
Contact information
Practice address
770 OLD ROSWELL PL STE A300, ROSWELL, GA 30076-1697
(347) 281-2620
Mailing address
PO BOX 232, ALPHARETTA, GA 30009-0232
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
05/11/2021
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