| NPI | 1114081635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT E. KOSMAHL President And Medical Director 706-629-1852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 064-078) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2016-02-05 |