| NPI | 1609023761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHI LANGLOIS Director 678-957-9935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 0800003824) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-21 |