NPI | 1548308513 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD P DENNIS Medical Director 404-355-1312 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 060-043) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2020-08-22 |