| NPI | 1215275227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BECK CFO 404-920-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2020-02-29 |