| NPI | 1598846925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BECKER CFO 470-243-2259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL PH10568) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2026-04-28 |