| 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 |