| NPI | 1871594499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH ROBERT BETON President 770-939-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 044047) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2008-05-08 |