| NPI | 1740504125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER SPENCER Owner 404-344-8129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 060-415) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |