| NPI | 1518149954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH C BISHOP Managing Partner 912-356-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2009-11-18 |