| NPI | 1952540825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT G BOWERMAN President 706-292-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: GA 057-410) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2010-09-15 |