Organization
SERENITY PODIATRIC CONCIERGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAREPTA ISAAC DPM (CEO)
(347) 281-2620
Entity
Organization
Contact information
Practice address
32 FENWICK PL, ATLANTA, GA 30328-1037
(347) 281-2620
Mailing address
32 FENWICK PL, ATLANTA, GA 30328-1037
(347) 281-2620
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001275
GA
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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