| NPI | 1629462759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY J TAYLOR Practice Manager 404-256-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2018-07-18 |