| NPI | 1811389265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD DENNIS Owner 404-355-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 060-043) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |