| NPI | 1588755920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J LUPI Owner 912-267-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2010-04-06 |