| NPI | 1922597517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINT HOFFMAN Sr VP 770-838-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2024-02-29 |