| NPI | 1588604391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HOWARD Senior Vice President 706-226-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 155-242) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |