| NPI | 1154422541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BOVINET Medical Director 912-262-6552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 0411782) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-07-27 |