| NPI | 1629154752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND I. GRIFFIN Medical Director 404-256-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 060112) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |