| NPI | 1548459860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL C. KABAKIBOU Owner/President 404-603-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |