Organization · Type 2 NPI

Soul Serene Wellness and Medspa LLC

Adult Health Nurse Practitioner · South Fulton, GA

NPI number 1851118772 Active

Practice location

5835 Campbellton Rd SW Ste 103
South Fulton, GA 30331-8014

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XNone listed

Adult Health Nurse Practitioner: Definition to come...

2 other providers at this address

About NPI 1851118772

Soul Serene Wellness and Medspa LLC's National Provider Identifier is 1851118772, issued on Sep 23, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in South Fulton, GA. The record was last updated on May 29, 2026.