| NPI | 1588620306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYE WILLIAMS Billing Supervisor 770-534-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 069-309) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-08-22 |