| NPI | 1124093588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN ELAINE SHAW Billing Manager 912-790-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 025276) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2015-04-02 |