| NPI | 1518009430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY MARCZUK Practice Manager 678-625-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 4034) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2021-05-05 |