| NPI | 1750862389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATUL PARIKH Medical Director 678-483-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 055430) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |