| NPI | 1093063083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARTIN Surgery Center Director 678-608-3212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 10059265) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2012-08-22 |