| NPI | 1427307578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN N TAFOR CEO 478-745-2385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 011-473) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2013-07-22 |