NPI | 1013213016 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDERICK T WORK Medical Director 404-885-9675 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 060-437) |
Enumeration Date | 2011-02-08 |
Last Update Date | 2011-03-29 |