Carnegie, Serenia

Carnegie, Serenia is an individual health care provider with primary practice located at 2301 N Ashley St , Valdosta GA 31602-2620. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Carnegie, Serenia can be contacted via phone (229) 245-1000.

Contact Information

Primary practice address
2301 N Ashley St Valdosta GA 31602-2620
Fax: (229) 242-2788
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN117177 Georgia

Profile Details

NPI number 1295774396
LBN Legal business name Carnegie, Serenia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295774396 NPPES
Georgia MEDICAID 00820234C

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