| NPI | 1912240003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNAEMEKA M UMERAH Medical Director 478-746-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 63974) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |