| NPI | 1518579903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDRA KUMAR GOVINDBHAI AMIN Md, Pc 912-381-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |