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 |