| NPI | 1528119252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT P HALL Administrator 770-544-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 16359) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |