| NPI | 1659426385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY MICHELLE HODGE Administrator 478-749-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-03-27 |