| NPI | 1518127398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE BURSON Manager 770-833-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: GA RN116720) |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2008-06-14 |