| NPI | 1861109464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D STEINES Chief Financial Officer 770-219-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2023-09-15 |