| NPI | 1841361052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G. COURTNEY HOUSTON Medical Director 229-228-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 136-113) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |