| NPI | 1174308639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE J HERNANDEZ VP Admin Svcs/Cco 404-851-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-04-29 |