NPI | 1396735833 |
---|---|
Other Name | PULLIAM AMBULATORY SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | MORRIS MICHAEL PULLIAM Medical Director 770-786-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 122-036) |
Enumeration Date | 2005-10-26 |
Last Update Date | 2011-10-10 |