| NPI | 1750420147 |
|---|---|
| Former Legal Business Name | ISPM ASC |
| Entity Type | Organization |
| Authorized Contact | VICTORIA BECK CFO 404-920-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-02-29 |