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Organization

SAGAR SERENE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARL D NELSON JR. (AUTHORIZED USER)
(520) 678-2292
Entity
Organization

Contact information

Practice address
603 POST KNL, GRIFFIN, GA 30224-4570
(520) 678-2292
(520) 678-2292
Mailing address
603 POST KNL, GRIFFIN, GA 30224-4570
(520) 678-2292
(520) 678-2292

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
01/24/2026
Last updated
01/24/2026
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