| NPI | 1457770547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H CAMPAGNA Md/Owner 229-247-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 33806) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |