| NPI | 1164671558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN JAMES FOWLER Medical Director 770-929-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |