| NPI | 1477917151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY CHARLES BROWNLOW President 770-252-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 038-485) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2018-03-07 |