| NPI | 1023475621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANESSA HASTINGS Billing Department Manager 404-935-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |