| NPI | 1841304797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHAIL A CHOUDHRI Owner 912-285-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 148228) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2013-01-02 |