| NPI | 1063507630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNETTA JANENE HOLLADAY CEO 706-549-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 029-303) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-02-11 |