| NPI | 1538166012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY KALISH Medical Director 770-477-9535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 031-070) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2010-08-12 |