NPI | 1700424322 |
---|---|
Entity Type | Organization |
Authorized Contact | AMIT PATEL Chief Executive Officer 770-962-3642 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2019-12-13 |
Last Update Date | 2023-01-13 |