| NPI | 1437250248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MESSICK CEO 678-528-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 077798LGB) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-12-07 |