| NPI | 1659451078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J KALSON Owner 770-889-0891 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 058-218) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-09-13 |