| NPI | 1922280197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIS S GRIFFIN Office Manager 229-242-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 092-374) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2012-11-27 |