| NPI | 1679894505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STUART EPTER Medical Director 706-738-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-11-05 |