| NPI | 1760317861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHAL BHALANI Medical Director 678-321-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2026-06-17 |
| Last Update Date | 2026-06-17 |