| NPI | 1720023500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALVAREZ Vice President 770-487-6716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 060-083) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-08-10 |