| NPI | 1316233612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BECK CFO 404-920-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2015-10-20 |