| NPI | 1740306059 |
|---|---|
| Doing Business As | AMBULATORY FOOT AND LEG SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JANA S. TAYLOR Credentialing Manager 770-544-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-08-13 |