| NPI | 1790819217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BIELLI Office Manager 706-546-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 029033) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |