| NPI | 1124277058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY M ROBINSON Director Of Ncis 404-603-3543 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2025-04-11 |