| NPI | 1700089695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHA KASSIS BADDOUR Office Manager 229-985-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 035-219) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2010-01-08 |