| NPI | 1962531988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKELL PEED CEO 478-471-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 011-057) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |