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 |