| NPI | 1629195979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRIAM LOUISE MCLENDON Administrator 404-607-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 060141) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |