Provider Demographics
NPI:1710851340
Name:ABOUZEIDAN, SERENA HOPE (PA-C)
Entity type:Individual
Prefix:
First Name:SERENA
Middle Name:HOPE
Last Name:ABOUZEIDAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE STE 1700
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2262
Mailing Address - Country:US
Mailing Address - Phone:404-881-9727
Mailing Address - Fax:
Practice Address - Street 1:550 PEACHTREE ST NE STE 1700
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2262
Practice Address - Country:US
Practice Address - Phone:404-881-9727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty