| NPI | 1508896705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. DAWSON President 229-391-3625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 136-156) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2010-07-14 |