| NPI | 1083653554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L. NABORS Medical Director 404-593-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA NEW-APPLYING FOR) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2009-12-01 |