| NPI | 1750494423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BECK CFO 404-403-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: GA 008-311) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-02-20 |