| NPI | 1609140151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE J HERNANDEZ VP Administrative Services, Cco 404-851-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-05-02 |