| NPI | 1306964853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEASA BURNS Practice Administrator 404-881-8253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 060-149) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-10-04 |