Organization
SERENITY PRIMARY CARE & RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON KATHLEEN WITT APRN (OWNER)
(812) 913-3818
Entity
Organization
Contact information
Practice address
2708 PAOLI PIKE STE I, NEW ALBANY, IN 47150-5100
(812) 725-7894
(812) 590-3168
Mailing address
1002 CATALPA DR, GEORGETOWN, IN 47122-8785
(502) 544-0192
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
05/29/2019
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