| 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 | 207R00000X Internal Medicine |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2021-02-22 |