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Organization
SERENE MEDICINE LLC
Active
Organization
SERENE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LERISSA ANTONIO MD (SOLE MEMBER)
(912) 272-5549
Entity
Organization
Contact information
Practice address
107 SEAGRASS STATION RD, BLUFFTON, SC 29910-9549
(843) 836-8200
Mailing address
1 SOUNDING POINT RETREAT, SAVANNAH, GA 31411-2839
(912) 272-5549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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