| NPI | 1477651610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIS L CRAIG Chief Administrative Officer 770-474-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-10-02 |