| NPI | 1275836645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT ANTONIO NAMAN Medical Director 706-494-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |