| NPI | 1407106933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D FLOWERS Asc Administrator 229-391-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |