| NPI | 1134367642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHONDA GARCIA Billing Supervisor 478-319-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 103511) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |