| NPI | 1720431166 |
|---|---|
| Doing Business As | LAKE SERENE |
| Entity Type | Organization |
| Authorized Contact | BRYAN N BATSON Executive Director 601-264-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2025-06-25 |