| NPI | 1871895821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE J. HERNANDEZ Cco 404-851-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 10041103) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2019-10-12 |