MEDICARE: RHONDA SERRETTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0500X	Hemodialysis Registered Nurse	RN162791	GA

General Provider Information

NPI Number	:	1437556016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA SERRETTE

Provider Business Mailing Address
First Line	:	40 UPLAND TRL
Second Line	:
City	:	OXFORD
State	:	GA
Zip	:	30054-2923
Country	:	US
Telephone Number	:	770-317-5445
Fax Number	:

Provider Business Practice Location Address
First Line	:	1275 CLEVELAND AVE
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-3433
Country	:	US
Telephone Number	:	404-761-0819
Fax Number	:	404-768-2336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2014
Last Update Date	:	11/26/2014

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Directions to “ RHONDA SERRETTE ” Practice Location

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