| NPI | 1457683914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY L DEMARCO Medical Manager 706-549-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2021-06-14 |