| 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 |