Individual
MR. SEREN EMERSON AINSWORTH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
15012 LEMOYNE BLVD, BILOXI, MS 39532
(228) 392-5050
(228) 392-5318
Mailing address
15012 LEMOYNE BLVD, BILOXI, MS 39532-5205
(228) 392-5050
(228) 392-5318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
903359
MS
Other
Enumeration date
06/11/2019
Last updated
04/08/2020
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