| NPI | 1932232543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA JARMUZ Owner 404-233-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 060-351) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |