| NPI | 1811052749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHUVANENDRAM INDRAKRISHNAN Manager/Member 678-377-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 11C0001280) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2024-03-05 |