| NPI | 1841368867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL R OZMENT Medical Director 478-274-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 11C0001266) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |