| NPI | 1881001758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY OKORO CEO/ Medical Director 770-485-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2015-12-14 |