| NPI | 1902848286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORTIA WALKER Director Of Surgical Services 770-384-0284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-02-25 |