| NPI | 1801110275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL BERINHOUT Medical Director 770-506-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2014-04-22 |