| NPI | 1457758450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOODLEY BERNADETTE MARDY-DAVIS Owner 470-299-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2015-07-16 |