| NPI | 1881612042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE J. HERNANDEZ Vice President, Admin Services/Cco 404-851-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 060-293) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-02-22 |