| NPI | 1558787614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WILLIAMS Practice Administrator 770-227-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 14018653) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2015-07-08 |