| NPI | 1013259050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG ISKHAKOV Owner 770-365-3271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 2013000503) |
| Enumeration Date | 2013-03-16 |
| Last Update Date | 2013-03-16 |