| NPI | 1245241694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE THOMPSON Business Office Manager 770-287-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 069-265) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2010-06-23 |