| NPI | 1205803699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L JONES Senior Manager, Business Operations 678-819-4295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: GA 6800013) |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2023-01-13 |