NPI | 1114984523 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA G. FLOWERS Business Manager 706-724-4111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 121-153) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2012-01-11 |