Organization
SERENITY MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK KNIERY (OWNER)
(770) 591-0704
Entity
Organization
Contact information
Practice address
1198 BUCKHEAD XING, SUITE B, WOODSTOCK, GA 30189-4257
(770) 591-0704
(770) 591-9433
Mailing address
1198 BUCKHEAD XING, SUITE B, WOODSTOCK, GA 30189-4257
(770) 591-0704
(770) 591-9433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000905198A
—
GA
Enumeration date
03/15/2006
Last updated
03/30/2010
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