| NPI | 1225096134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MABRY CHAPMAN Medical Director 770-532-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA PENDING) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |