| NPI | 1457387771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANDREW SCHRECK Owner 706-327-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 106250) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2021-08-04 |