| NPI | 1972803898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRESH VIRADIA CEO 478-971-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 076-442) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2015-05-11 |