NPI | 1275008351 |
---|---|
Entity Type | Organization |
Authorized Contact | JITESH V PATEL Chief Executive Officer 678-344-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 208800000X Urology |
Enumeration Date | 2018-10-04 |
Last Update Date | 2023-05-24 |