| 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 |