| NPI | 1861496564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY M ROBINSON Director Of Ncis 404-603-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 060155) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2025-05-06 |