| NPI | 1093110447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNETTA JANENE HOLLADAY Director/Owner 678-989-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-11-12 |