| NPI | 1184083958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BUCKLEY DAVIS Medical Director 229-434-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |