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 |