| 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 |