| NPI | 1780735175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY GRASSO President 770-421-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 00056535) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2024-01-10 |