| NPI | 1477628725 |
|---|---|
| Doing Business As | SURGERY & LASER CENTER AT PROFESSIONAL PARK LLC |
| Entity Type | Organization |
| Authorized Contact | KEVIN BECKER CFO 470-243-2259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2024-08-05 |