| NPI | 1205607447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HOLLIFIELD Medical Director 678-701-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |