| NPI | 1831301050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E COLLINS Administrator 912-871-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 016-232) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |