| NPI | 1528196888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE D. DIXON Chief Operating Officer 229-435-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 35890) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2017-02-28 |