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 |