| NPI | 1871644823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L PERLOW Medical Doctor 770-951-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 025014) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2009-12-30 |