| NPI | 1861029712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET WELBORN Nurse Manager 470-410-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2021-04-06 |