| NPI | 1437289535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY ASANTE Administrator 706-327-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 000628) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-07-01 |