| NPI | 1174987135 | 
|---|---|
| Doing Business As | STAR SURGICAL | 
| Entity Type | Organization | 
| Authorized Contact | NEIL GHODADRA Medical Director 678-596-1344  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical | 
| Enumeration Date | 2016-04-06 | 
| Last Update Date | 2016-04-06 |