Organization
SERAPHYM HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENEAKA SYKES ARNP (NURSE PRACTITIONER)
(843) 638-1147
Entity
Organization
Contact information
Practice address
368 W PIKE ST STE 106, LAWRENCEVILLE, GA 30046-3240
(470) 294-1087
(470) 294-1086
Mailing address
368 W PIKE ST STE 106, LAWRENCEVILLE, GA 30046-3240
(470) 294-1087
(470) 294-1086
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003316385A
—
GA
Enumeration date
09/16/2024
Last updated
02/26/2026
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