| NPI | 1376716316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN SHERROD Manager 404-920-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 033-382) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2024-01-30 |