NPI | 1598061350 |
---|---|
Entity Type | Organization |
Authorized Contact | STACIA MCCANTS Assistant 678-205-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 057378) |
Enumeration Date | 2011-01-26 |
Last Update Date | 2011-05-27 |