NPI | 1710924881 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J SHARKEY President 478-275-2694 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 087-215) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2008-05-30 |