Individual
SERENIA CARNEGIE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 N ASHLEY ST, VALDOSTA, GA 31602-2620
(229) 245-1000
(229) 242-2788
Mailing address
2301 N ASHLEY ST, VALDOSTA, GA 31602-2620
(229) 245-1000
(229) 242-2788
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN117177
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00820234C
—
GA
Enumeration date
06/05/2006
Last updated
07/08/2007
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