Organization
SOUTHERN SERENITY WELLNESS
Active
Other names
southern serenity wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQUIRAH SCREEN (OWNER)
(229) 205-5032
Entity
Organization
Contact information
Practice address
830 SPRING CREEK RD # C, BAINBRIDGE, GA 39817-3554
(229) 205-5032
Mailing address
830 SPRING CREEK RD # C, BAINBRIDGE, GA 39817-3554
(229) 205-5032
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
09/01/2022
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