| NPI | 1437183365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LAW Office Manager 229-226-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 11C0001180) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-06-11 |