| NPI | 1881911451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEX KENERLY President 912-427-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 30633) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2016-10-31 |