| NPI | 1386213460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT S PATEL Chief Executive Officer 770-962-3642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-01-13 |