| NPI | 1528640737 | 
|---|---|
| Other Name | AOS 17 | 
| Entity Type | Organization | 
| Authorized Contact | JENNIFER MCBEE Revenue Cycle Manager 678-701-2225  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261Q00000X Clinic/Center | 
| Enumeration Date | 2021-04-27 | 
| Last Update Date | 2024-02-28 |