| NPI | 1871772681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERAMY JAMES STUDNISKI Vice President 678-233-7832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2008-02-14 |