| NPI | 1164953493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIM SHAKOOR Medical Director 404-509-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 261QA1903X) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-04-05 |