| NPI | 1902784226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S FELLNER Chief Executive Officer 678-205-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |