| NPI | 1730170564 |
|---|---|
| Doing Business As | ENT SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | FRED DANIEL Md 912-351-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 025182) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2017-09-18 |