NPI | 1922131770 |
---|---|
Entity Type | Organization |
Authorized Contact | LORRI E GAY President Owner 770-455-4210 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 044023) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-08-22 |