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 |