| NPI | 1821183237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNETTA JANENE HOLLADAY CEO 706-549-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 057288) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-01-08 |