| NPI | 1609285386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAN R PATEL President 678-381-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 54172) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2023-04-04 |