| NPI | 1952319378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE VITO Medical Director 478-475-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 011177) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |