NPI | 1609871847 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA SIMMONS Administrator 706-323-8803 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 106-216) |
Enumeration Date | 2005-06-15 |
Last Update Date | 2013-07-17 |