| NPI | 1073556338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY E PITTS Medical Director/Physician 229-242-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 092-146) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-10-03 |