| NPI | 1780854489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH WELSH Chief Medical Director 706-736-6806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-12-01 |