| NPI | 1013253178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER PATTERSON Practice Administrator 912-384-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 034-403) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |