| NPI | 1689736118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KENDRICK Medical Director 229-253-9336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 092165) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-12-18 |