| NPI | 1003144353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA J KING Business Operations Manager 404-317-2694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |