| NPI | 1083299747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA A FIELDS Director, Accounting & Finance 478-330-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2024-08-02 |