| NPI | 1598847139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J. HERZWURM Medical Director 706-396-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 121262) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2013-11-08 |