| NPI | 1649682014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H LLOYD Owner 770-740-1860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 038-504) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2023-10-23 |