| NPI | 1902020522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MIDDLETON D.P.M. 706-802-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 000618) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-09-28 |