| NPI | 1922012210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN SIMENS Revenue Cycle Manager 770-255-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Additional Taxonomies | 208800000X Urology |
| 261QX0203X Clinic/Center, Oncology, Radiation | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-08-23 |