| NPI | 1841733326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL GENTRY Associate Dean Of Business Finance 706-721-2103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2023-04-13 |