| NPI | 1023149242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILSON PRICE Director 478-272-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA Pending) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |