| NPI | 1447388574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS J GIRON CEO 478-476-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 011231) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |