| NPI | 1215915939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH GIBBERT Administrator 478-464-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 011294) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2014-08-07 |