| NPI | 1255536496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE WELLS Vice President 770-955-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 20461501) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-09-27 |