| NPI | 1457384554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA R MYERS Business Office Manager 912-644-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 125185) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-04-25 |