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 |