| NPI | 1518279504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMANT YAGNICK Director 706-284-5361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 055321) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |