| NPI | 1669158184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NEIMKIN Medical Director 404-946-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-12-28 |