| NPI | 1801277819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON ALEXANDER ASHFORD President 706-248-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |