| NPI | 1588994685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKUR PATEL Owner 678-971-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA LNR-ASC2014-023) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2024-04-12 |