| NPI | 1639416365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RANIERE Vice President 770-461-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 12056659) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |